Anthem BCBSHigh ImpactPrior Auth

[Ohio] Precertification/prior authorization requirement changes

Published May 27, 2026

AI Summary

Anthem has updated precertification and prior authorization requirements for Ohio providers. This fresh policy change modifies which services require approval before treatment, potentially affecting claim processing and reimbursement.

Action Required

Immediately: Access the full policy at https://providernews.anthem.com/ohio/articles/precertificationprior-authorization-requirement-changes-30221 to review specific changes. Billing team must identify which services now require precertification, update prior authorization workflows, and modify billing system settings accordingly. Front desk staff should update scheduling procedures to obtain necessary approvals before appointments.

Plan Types

Commercial

States

OH

Specialties

all-specialties