Anthem BCBSHigh ImpactPrior Auth

[New York] Precertification/prior authorization requirement changes

Published May 7, 2026

AI Summary

Anthem has updated precertification and prior authorization requirements for New York providers. This policy change affects which services require approval before rendering care and could impact claim processing if not followed.

Action Required

Immediately: Review the full policy document at the provided URL to identify specific services with changed prior authorization requirements. Update billing system rules and staff workflows to reflect new precertification requirements. Train front desk staff on new authorization processes to prevent claim denials.

Plan Types

All Plans

States

NY

Specialties

all-specialties

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