Anthem BCBSHigh ImpactPrior Auth
[California] Precertification/prior authorization requirement changes
Published May 18, 2026
AI Summary
Anthem California has updated precertification and prior authorization requirements for certain services. This policy change affects which services require advance approval before treatment and may impact claim processing for non-compliant submissions.
Action Required
Immediately: Review the complete policy bulletin at the provided URL to identify specific services with changed prior authorization requirements. Update billing system rules and staff workflows accordingly. Train front desk staff on new precertification requirements to avoid claim denials.
Plan Types
Commercial
States
CA
Specialties
all-specialties