Anthem BCBSHigh ImpactPrior Auth
[Ohio] 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 Anthem Ohio providers. This appears to involve changes to which services require prior approval before rendering care to patients.
Action Required
Immediately: Review the full policy bulletin at the provided URL to identify specific services with new or changed prior authorization requirements. Update billing system rules to flag affected procedures for prior auth verification before scheduling. Train front desk staff on new requirements to prevent claim denials.
Plan Types
Commercial
States
OH
Specialties
all-specialties