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 Anthem Virginia providers. This policy change affects authorization procedures for certain medical services and procedures.
Action Required
Immediately: Review the full policy details at the provided URL to identify specific services requiring updated prior authorization procedures. Update billing team workflows and provider notification processes according to Carelon's new requirements. Verify authorization status before scheduling affected procedures to prevent claim denials.
Plan Types
Commercial
States
VA
Specialties
all-specialties