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 and reimbursement.
Action Required
Immediately: Access the full policy details at the provided URL to identify specific services with new prior authorization requirements. Update billing system workflows to ensure prior authorizations are obtained before rendering affected services. Train staff on new precertification requirements to prevent claim denials.
Plan Types
Commercial
States
CA
Specialties
all-specialties