Prior authorization metrics
To comply with the CMS Interoperability and Prior Authorization
final rule, Priority Health is required to annually report aggregated prior authorization metrics on our website. This includes a list of all medical items and services (excluding drugs) that require prior authorization - which we call our Authorization Quick Reference List - as well as data on prior authorization requests for those items and services (i.e., approvals, denials, etc.) over the previous calendar year. Use the links below to access this information.