Anthem BCBSHigh ImpactPrior Auth
[Ohio] 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 plans in Ohio. This affects which services require prior approval before being performed to ensure coverage.
Action Required
Immediately: Review the full policy bulletin at the provided URL to identify specific services with updated prior authorization requirements. Update billing system and workflow processes to reflect new precertification requirements. Train staff on revised prior auth procedures to prevent claim denials.
Plan Types
Commercial
States
OH
Specialties
all-specialties