Anthem BCBSHigh ImpactPrior Auth

[Georgia] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management

Published May 27, 2026

AI Summary

Carelon Medical Benefits Management has updated precertification and prior authorization requirements for Anthem Georgia providers. This bulletin contains changes to which services require prior approval before treatment.

Action Required

Immediately: Review the full policy bulletin at the provided URL to identify specific services with changed prior authorization requirements. Update billing system prior auth rules accordingly. Train staff on new precertification requirements to prevent claim denials.

Plan Types

Commercial

States

GA

Specialties

all-specialties