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 Georgia providers. This bulletin contains changes to which services require prior approval before treatment, affecting claim processing and reimbursement.

Action Required

Immediately: Access the full policy bulletin at the provided URL to review specific precertification changes. Billing team must identify which services now require prior authorization and update billing system workflows accordingly. Front desk staff should be trained on new prior auth requirements to prevent claim denials.

Plan Types

All Plans

States

GA

Specialties

all-specialties