Anthem BCBSMedium ImpactPrior Auth
[Virginia] Prior authorization requirement updates — Carelon Medical Benefits Management
Published May 27, 2026
AI Summary
Carelon Medical Benefits Management has updated prior authorization requirements for Virginia providers. This affects Anthem plans in Virginia and requires billing teams to review current prior auth protocols.
Action Required
Immediately: Billing team should access the full policy details at the provided URL to identify specific services now requiring prior authorization. Update billing system workflows and staff training materials based on the complete requirements. Verify prior auth status for all Anthem Virginia patients before scheduling affected services.
Plan Types
Commercial
States
VA
Specialties
all-specialties