Prior Authorization & Claims

Request Prior Authorization

Providers are responsible for verifying eligibility and benefits before providing services to Anthem Blue Cross (Anthem) members. Except for an emergency, failure to obtain prior authorization (PA) for the services listed below will result in a denial for reimbursement.

The links below contain information outlining the services that require PA for Anthem members enrolled in Medi-Cal Managed Care, Medi-Cal Access Program, L.A. Care, and Major Risk Medical Insurance Program (MRMIP). We will update this list as needed.