Anthem BCBSHigh ImpactPrior Auth
[New York] Precertification/prior authorization requirement changes
Published May 27, 2026
AI Summary
Anthem has updated precertification and prior authorization requirements for New York providers. This policy change affects which services require prior approval before treatment and may impact claim processing for affected procedures.
Action Required
Immediately: Review the full policy details at the provided URL to identify specific services with changed prior authorization requirements. Update billing system rules and staff workflows accordingly. Verify prior auth status for all affected services before scheduling or billing to prevent claim denials.
Plan Types
Commercial
States
NY
Specialties
all-specialties