CommercialPrior AuthHigh impact
[New York] Precertification/prior authorization requirement changes
Anthem BCBS·NY·Provider Bulletin
We identified it
Jun 13, 2026
Summary
Anthem in New York has updated precertification and prior authorization requirements for certain services. The billing team needs to review and implement these new authorization requirements to prevent claim denials.
Action Required
Immediately: Billing team must access the full policy details at the provided URL to identify specific services requiring new precertification. Update billing system settings to flag affected services for prior authorization. Train front desk staff on new authorization workflows. Verify authorization requirements before scheduling affected procedures to prevent claim denials.