Authorization quick reference list

Linked below is a list of all services currently requiring prior authorization. This list is updated as changes are made. Bookmark our authorization news section to stay up-to-date.

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Full list of services requiring prior authorization

Click the button below to see a full list of services current requiring prior authorization. To search the list, click Ctrl + F on your computer’s keyboard to open the search function.

Note: This prior authorization list is for reference only and isn't intended to be a substitute for benefit verification or Priority Health's medical policies. This list isn't exhaustive and services aren't necessarily covered under the member benefits coverage. Check a member's benefits coverage in the Member Inquiry tool in prism. Checking eligibility and/or benefit information and/or obtaining prior authorization isn't a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility and the terms of the member’s individual/group coverage, including, but not limited to, network requirements, exclusions and limitations, deductibles, copayments and coinsurance applicable on the date services were rendered. If you have questions, contact our Provider Helpline at 800.942.4765.

Service types that commonly require prior authorization