Anthem BCBSMedium ImpactPrior Auth
[California] Precertification/prior authorization change to the parenteral nutrition codes listed
Published May 27, 2026
AI Summary
Anthem California is implementing new precertification/prior authorization requirements for parenteral nutrition codes. Healthcare providers will need to obtain prior authorization before billing these codes to avoid claim denials.
Action Required
Immediately: Billing team must update system to require prior authorization for all parenteral nutrition codes before claim submission. Contact Anthem California to obtain list of specific affected codes. Update encounter forms and EMR templates to remind providers to obtain prior auth. Train staff on new precertification process for parenteral nutrition services.
Plan Types
Commercial
States
CA
Specialties
gastroenterology, oncology, critical-care, hospitalist, general-surgery