Anthem BCBSHigh ImpactPrior Auth
[California] Prior authorization requirement changes
Published May 27, 2026
AI Summary
Anthem California has implemented changes to prior authorization requirements, affecting when providers need to obtain approval before delivering certain services. This is a very recent update that requires immediate attention from billing teams.
Action Required
Immediately: Access 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 prior auth requirements. Train staff on which services now require or no longer require prior authorization to prevent claim denials.
Plan Types
Commercial
States
CA
Specialties
all-specialties