Anthem BCBSHigh ImpactPrior Auth
[New York] 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 plans in New York. This affects which services require prior approval before treatment and may impact claim processing workflows.
Action Required
Immediately: Review the full policy bulletin at the provided URL to identify specific services with new prior authorization requirements. Update billing system rules and staff workflows accordingly. Train front desk staff on new precertification requirements to avoid claim denials.
Plan Types
Commercial
States
NY
Specialties
all-specialties