Anthem BCBSHigh ImpactPrior Auth

[Virginia] Precertification/prior authorization requirement changes

Published May 3, 2026

AI Summary

Anthem has updated precertification and prior authorization requirements for Virginia providers. This policy change affects which services require prior approval before treatment, impacting claim processing and reimbursement workflows.

Action Required

Immediately: Review the detailed policy bulletin at the provided URL to identify specific services with changed prior authorization requirements. Update billing system settings to reflect new precertification requirements. Train staff on revised prior auth workflows to prevent claim denials.

Plan Types

Commercial

States

VA

Specialties

all-specialties