CommercialPrior AuthHigh impact
[Virginia] Precertification/prior authorization requirement changes
Anthem BCBS·VA·Provider Bulletin
We identified it
May 3, 2026
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.