CommercialPrior AuthHigh impact
[California] Precertification/prior authorization requirement changes
Anthem BCBS·CA·Provider Bulletin
We identified it
May 3, 2026
Summary
Anthem California has updated their precertification and prior authorization requirements. This is a fresh policy change that will impact billing workflows and claim processing for California providers.
Action Required
Immediately: Visit https://providernews.anthem.com/california/articles/prior-authorization-requirement-changes-27614 to review the complete policy details. Billing team must identify which services now require prior authorization and update billing system workflows accordingly. Front desk staff should update patient scheduling processes to verify authorization requirements before appointments.