Anthem BCBSHigh ImpactPrior Auth

[New York] Precertification/prior authorization requirement changes

Published May 7, 2026

AI Summary

Anthem in New York has updated their precertification and prior authorization requirements. This policy change affects which services require advance approval before being performed and may impact claim processing for affected procedures.

Action Required

Immediately: Contact Anthem New York or access the full policy document at the provided URL to obtain specific details about which services now require precertification. Review current procedures that may be affected and update prior authorization workflows accordingly. Verify authorization requirements before scheduling affected services to prevent claim denials.

Plan Types

Commercial

States

NY

Specialties

all-specialties

[New York] Precertification/prior authorization requirement changes | Anthem BCBS | PolicyChanges.app