Anthem BCBSHigh ImpactPrior Auth
[New York] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management (June 2026 Newsletter)
Published May 29, 2026
AI Summary
Carelon Medical Benefits Management has updated precertification and prior authorization requirements for Anthem plans in New York. The billing team needs to review and implement new authorization protocols to prevent claim denials.
Action Required
Immediately: Billing team must access the full June 2026 Newsletter from Carelon Medical Benefits Management to review specific prior authorization requirement changes. Update billing system rules and staff workflows according to the new precertification requirements. Verify authorization requirements before submitting claims to prevent denials.
Plan Types
Commercial
States
NY
Specialties
all-specialties