Anthem BCBSMedium ImpactPrior Auth
[Virginia] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management
Published June 9, 2026
AI Summary
Carelon Medical Benefits Management has updated precertification and prior authorization requirements for Virginia providers. This policy change affects authorization processes for certain medical services and procedures.
Action Required
Immediately: Review the full policy details at the provided URL to identify specific services requiring updated prior authorization procedures. Update staff training and billing workflows based on Carelon's new precertification requirements. Verify authorization processes are compliant with updated guidelines to prevent claim denials.
Plan Types
Commercial
States
VA
Specialties
all-specialties