Anthem BCBSMedium ImpactPrior Auth

[Virginia] Precertification/prior authorization requirement changes

Published May 18, 2026

AI Summary

Anthem Virginia has updated precertification and prior authorization requirements for certain services. This policy change affects which procedures and services require prior approval before treatment can be rendered.

Action Required

Immediately: Review the full policy details at the Anthem Virginia provider portal to identify specific services with changed prior authorization requirements. Update billing system rules and staff workflows to ensure proper precertification is obtained before rendering affected services. Train front desk and clinical staff on new requirements to prevent claim denials.

Plan Types

Commercial

States

VA

Specialties

all-specialties