Anthem BCBSMedium ImpactPrior Auth
[Ohio] Precertification/prior authorization change to the parenteral nutrition codes listed
Published May 27, 2026
AI Summary
Ohio Anthem is implementing precertification/prior authorization requirements for parenteral nutrition codes. Healthcare providers in Ohio will need to obtain prior authorization before administering parenteral nutrition services to avoid claim denials.
Action Required
Immediately: Billing team must update system to require prior authorization for all parenteral nutrition codes before service delivery. Contact Anthem to obtain current list of affected codes and prior auth process. Update encounter forms and EMR templates to remind providers to obtain precertification. Failure to obtain prior authorization will result in claim denials.
Plan Types
Commercial
States
OH
Specialties
gastroenterology, oncology, critical-care, hospitalist, general-surgery, pediatrics