Anthem BCBSMedium ImpactPrior Auth
[New York] Precertification/prior authorization change to the parenteral nutrition codes listed
Published May 27, 2026
AI Summary
Anthem New York has implemented precertification/prior authorization changes for parenteral nutrition codes. Medical billing teams will now need to obtain prior authorization before providing parenteral nutrition services to avoid claim denials.
Action Required
Immediately: Billing team must update systems to require prior authorization for all parenteral nutrition services before treatment. Contact Anthem New York to verify specific authorization requirements and update encounter forms to remind providers. Claims submitted without proper precertification will be denied.
Plan Types
Commercial
States
NY
Specialties
gastroenterology, critical-care, hospitalist, general-surgery, oncology