Anthem BCBSHigh ImpactPrior Auth

[California] Precertification/prior authorization requirement changes

Published May 20, 2026

AI Summary

Anthem California has updated their precertification and prior authorization requirements. This fresh policy change affects what services need approval before treatment and may impact claim processing workflows.

Action Required

Immediately: Access the full policy details at the provided URL to identify specific services with new prior authorization requirements. Update billing system rules and staff workflows accordingly. Review current pending procedures to ensure compliance with new requirements.

Plan Types

Commercial

States

CA

Specialties

all-specialties