Anthem BCBSHigh ImpactPrior Auth
[New York] Precertification/prior authorization requirement changes
Published May 18, 2026
AI Summary
Anthem's New York plans have updated their precertification and prior authorization requirements. Billing teams must review and implement new prior auth processes to avoid claim denials.
Action Required
Immediately: Billing team must access the full policy at https://providernews.anthem.com/new-york/articles/precertificationprior-authorization-requirement-changes-28393 to review specific prior authorization changes. Update billing system requirements and notify providers of any new precertification needs for Anthem New York members. Failure to obtain required prior authorizations will result in claim denials.
Plan Types
Commercial
States
NY
Specialties
all-specialties