Anthem BCBSHigh ImpactPrior Auth
[California] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management
Published May 27, 2026
AI Summary
Carelon Medical Benefits Management has updated precertification and prior authorization requirements for Anthem California members. This affects which services require prior approval before treatment and may impact claim processing for affected procedures.
Action Required
Immediately: Billing team must review the full policy details at the provided URL to identify specific services with changed prior authorization requirements. Update billing system rules and staff workflows accordingly. Verify prior auth requirements before scheduling affected services to prevent claim denials.
Plan Types
Commercial
States
CA
Specialties
all-specialties