CommercialPrior AuthHigh impact
[Ohio] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management
Anthem BCBS·OH·Provider Bulletin
We identified it
Jun 13, 2026
Summary
Carelon Medical Benefits Management has updated precertification and prior authorization requirements for Anthem plans in Ohio. This affects when providers need to obtain approval before delivering certain services to avoid claim denials.
Action Required
Immediately: Review the full policy bulletin at the provided URL to identify specific services requiring new or changed prior authorization. Update billing system workflows to flag affected services for precertification. Train staff on new requirements to prevent claim denials due to missing authorizations.