Anthem BCBSHigh ImpactPrior Auth
[California] Precertification/prior authorization requirement changes
Published May 18, 2026
AI Summary
Anthem has updated precertification and prior authorization requirements in California. This policy change affects which services require prior approval before treatment, potentially impacting claim approvals and reimbursements.
Action Required
Immediately: Billing team must access the full policy details at the Anthem provider portal to identify specific services with changed prior authorization requirements. Update billing system workflows to reflect new precertification rules. Notify providers of any services that now require or no longer require prior authorization to prevent claim denials.
Plan Types
Commercial
States
CA
Specialties
all-specialties