All PlansPrior AuthHigh impact
[Virginia] Precertification/prior authorization requirement changes
Anthem BCBS·VA·Provider Bulletin
We identified it
Jun 13, 2026
Summary
Anthem has updated precertification and prior authorization requirements for Virginia providers. This policy change modifies which services require prior approval before treatment, potentially affecting claim processing and reimbursement.
Action Required
Immediately: Review the full policy document at the provided URL to identify specific services with changed prior authorization requirements. Update billing system rules and encounter forms to reflect new precertification requirements. Train staff on updated prior auth workflows to prevent claim denials.