Anthem BCBSHigh ImpactPrior Auth
[California] Precertification/prior authorization requirement changes
Published May 27, 2026
AI Summary
Anthem has updated precertification and prior authorization requirements for California providers. This policy change affects which services require prior approval before treatment, potentially impacting claim approval and reimbursement workflows.
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 encounter forms to reflect new precertification requirements. Train staff on updated prior auth workflows to prevent claim denials.
Plan Types
Commercial
States
CA
Specialties
all-specialties