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 California providers. This affects multiple services that now require prior approval before rendering care to avoid claim denials.
Action Required
Immediately: Review the full policy bulletin at the provided URL to identify specific services requiring new prior authorizations. Update billing system and encounter forms to flag affected procedures. Train staff on new precertification requirements. Failure to obtain required prior authorization will result in claim denials.
Plan Types
Commercial
States
CA
Specialties
all-specialties