Precertification List Change Notification — November 1, 2024

The following services will be added to precertification for the effective dates listed below.

Eligibility and benefits can be verified by accessing Availity at Availity.com or calling Anthem’s Utilization Management department using the number on the back of the member’s identification card. Service preapproval is based on member’s benefit plan/eligibility at the time the service is reviewed/approved.

Precertification can help avoid unnecessary charges or penalties by helping to ensure that the member's care is medically necessary and administered at an appropriate network facility and by a network provider.

Add to precertification
Criteria	Criteria description	Code	Effective date
MED.00140	Gene Therapy for Beta Thalassemia	J3393	2/1/2025
MED.00146	Gene Therapy for Sickle Cell Disease	J3394	2/1/2025