CommercialPrior AuthHigh impact
[New York] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management
Anthem BCBS·NY·Provider Bulletin
We identified it
Jun 13, 2026
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 change existing authorization workflows.
Action Required
Immediately: Review the full policy bulletin at the Anthem provider portal to identify specific services with new prior authorization requirements. Update prior auth checklists and staff training. Verify authorization requirements before scheduling affected services to prevent claim denials.