Anthem BCBSMedium ImpactPrior Auth
[Virginia] 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 Virginia providers. This affects authorization processes for certain medical services and procedures under Anthem plans in Virginia.
Action Required
Immediately: Review the full policy bulletin at the provided URL to identify specific services requiring updated prior authorization processes. Update prior authorization workflows and staff training accordingly. Verify authorization requirements before scheduling affected procedures to prevent claim denials.
Plan Types
Commercial
States
VA
Specialties
all-specialties