Payer policies
Prior-auth rules from 188 payer lists and Medicaid fee schedules from 23 states, for 21,762 codes. Use the prior auth lookup.
Latest prior-auth changes
- Jan 1, 2027: PA added for 0686T, CarePlus Health Plans
- Jan 1, 2027: PA added for 0657U, Humana
- Jan 1, 2027: PA added for 0487U, Humana
- Jan 1, 2027: PA added for 78608, Humana
- Jan 1, 2027: PA removed for Q5135, Humana
- Jan 1, 2027: PA added for 81448, Humana
- Jan 1, 2027: PA added for Q4423, Humana
- Jan 1, 2027: PA added for 81202, Humana
- Jan 1, 2027: PA added for E0652, Humana
- Jan 1, 2027: PA added for 0423U, Humana
- Jan 1, 2027: PA added for 0425U, Humana
- Jan 1, 2027: PA added for 0076U, Humana
- Jan 1, 2027: PA added for 0489U, Humana
- Jan 1, 2027: PA added for Q4428, Humana
- Jan 1, 2027: PA added for 37255, Humana
- Jan 1, 2027: PA added for 81306, Humana
- Jan 1, 2027: PA added for 0888T, CarePlus Health Plans
- Jan 1, 2027: PA added for E0667, Humana
- Jan 1, 2027: PA removed for J0586, Humana
- Jan 1, 2027: PA added for A2018, Humana
- Jan 1, 2027: PA added for 0211U, Humana
- Jan 1, 2027: PA added for 81325, Humana
- Jan 1, 2027: PA added for 0438U, Humana
- Jan 1, 2027: PA added for 0130U, Humana
- Jan 1, 2027: PA added for 0473U, Humana
- Jan 1, 2027: PA added for 81448, Humana
- Jan 1, 2027: PA added for E0627, Humana
- Jan 1, 2027: PA added for 81458, Humana
- Jan 1, 2027: PA added for 95811, Humana
- Jan 1, 2027: PA added for 37259, Humana
- Jan 1, 2027: PA added for 37270, Humana
- Jan 1, 2027: PA added for 81309, Humana
- Jan 1, 2027: PA added for 0686T, CarePlus Health Plans
- Jan 1, 2027: PA added for E0470, CarePlus Health Plans
- Jan 1, 2027: PA removed for J7180, CarePlus Health Plans
- Jan 1, 2027: PA added for E1007, Humana
- Jan 1, 2027: PA added for 37270, Humana
- Jan 1, 2027: PA removed for J0593, Humana
- Jan 1, 2027: PA added for 90867, Humana
- Jan 1, 2027: PA added for A2024, Humana