• Pre-Authorization Codes

  • A complete list of the treatments and procedures that require providers to obtain pre-authorization is available by clicking on the links below. This new list is in effect 1/1/2020.

    The list below went into effect on April 8, 2019 and will remain in effect until 12/31/2019.

    Please note that authorization requirements for Beacon providers have not changed and still go to Beacon. eviCore requirements go to eviCore; Superior Vision go to Superior Vision; Dentaquest go to Dentaquest. All scheduled inpatient admissions require prior authorization, as do all requests to use a non-participating provider and all requests for durable medical equipment that are billed for more than $500.