CommercialPrior AuthMedium impact
[New York] 2026 InterQual updates
Anthem BCBS·NY·Provider Bulletin
We identified it
Jun 1, 2026
Summary
Anthem has released 2026 InterQual updates for New York providers. InterQual criteria are used for medical necessity determinations and prior authorization reviews, so this likely affects coverage and authorization requirements for various medical services.
Action Required
Review the full 2026 InterQual updates at the provided URL to identify specific changes to medical necessity criteria. Update internal authorization workflows and medical necessity documentation requirements based on the new criteria. Train clinical staff on any revised InterQual standards that affect their specialty areas.