Anthem BCBSMedium 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 is a fresh policy update that may affect authorization workflows and claim processing procedures.

Action Required

Immediately: Review the full policy bulletin at the Anthem provider portal to identify specific services requiring new or modified prior authorization. Update billing system authorization requirements and staff workflows accordingly. Monitor for claim denials due to missing authorizations under the new requirements.

Plan Types

Commercial

States

GA

Specialties

all-specialties