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CommercialPrior AuthMedium impact

[New York] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management

Anthem BCBS·NY·Provider Bulletin
Effective date
Not stated
We identified it
Jun 13, 2026
Days to comply

Summary

Carelon Medical Benefits Management has updated precertification and prior authorization requirements for New York providers. The specific details of the changes are not accessible due to a technical issue with the source document.

Action Required

Action needed
Immediately: Contact Carelon Medical Benefits Management or check their provider portal directly to obtain the updated precertification/prior authorization requirements. Billing team should verify current prior auth requirements for all Anthem-affiliated plans in New York to ensure compliance and prevent claim denials.