Anthem BCBSMedium 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 change affects providers who need to obtain prior authorization for certain medical services and procedures through Carelon's system.
Action Required
Immediately: Review the full policy bulletin at the provided URL to identify specific services requiring updated prior authorization processes. Update billing team workflows to comply with new Carelon Medical Benefits Management precertification requirements. Verify current prior auth procedures are aligned with updated requirements to prevent claim denials.
Plan Types
Commercial
States
NY
Specialties
all-specialties