CommercialPrior AuthHigh impact
[California] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management
Anthem BCBS·CA·Provider Bulletin
We identified it
Jun 13, 2026
Summary
Carelon Medical Benefits Management has updated precertification and prior authorization requirements for Anthem California members. This fresh policy change affects authorization processes that billing teams must comply with to avoid claim denials.
Action Required
Immediately: Review the full policy details at the provided URL to identify specific services requiring updated prior authorization. Update billing workflows and staff training for Carelon Medical Benefits Management authorization requirements. Verify current authorization processes align with new requirements to prevent claim denials.