Anthem BCBSHigh ImpactPrior Auth
[Virginia] Prior authorization requirement updates — Carelon Medical Benefits Management
Published May 28, 2026
AI Summary
Carelon Medical Benefits Management has updated prior authorization requirements for Virginia providers. This affects Anthem-affiliated plans and requires billing teams to verify new prior auth rules for specific procedures and services.
Action Required
Immediately: Access the Anthem provider portal at the provided URL to review specific prior authorization requirement changes for Carelon Medical Benefits Management. Billing team must identify which procedures now require prior auth and update billing system workflows accordingly. Front desk staff should verify prior auth requirements before scheduling affected services to prevent claim denials.
Plan Types
Commercial
States
VA
Specialties
all-specialties