Anthem BCBSHigh ImpactPrior Auth
[New York] Prior authorization requirement updates — Carelon Medical Benefits Management
Published May 27, 2026
AI Summary
Carelon Medical Benefits Management has updated prior authorization requirements for Anthem New York plans. This affects which services need prior approval before treatment and may change the authorization process for existing requirements.
Action Required
Immediately: Review the full policy bulletin at the provided URL to identify specific services requiring new prior authorizations. Update billing system and staff workflows to obtain required authorizations before providing affected services. Train front desk staff to verify authorization requirements for all Anthem New York patients. Claims will be denied without proper prior authorization.
Plan Types
Commercial
States
NY
Specialties
all-specialties