Prior authorization requirements (payers' public prior authorization lists) 2026-10-25.2
0 added, 0 changed, 9,267 retired. Effective 2026-10-25; published 2026-10-26, 22.2 h after the source.
Changed records
| Record | Change |
|---|---|
| aetna:commercial:S9123:S9123::required::aetna-precert-list-2026:p11r30 | retired |
| aetna:commercial:S9124:S9124::required::aetna-precert-list-2026:p11r30 | retired |
| aetna:commercial:S9960:S9960::required::aetna-precert-list-2026:p7r2 | retired |
| aetna:commercial:T1000:T1000::required::aetna-precert-list-2026:p11r30 | retired |
| aetna:commercial:T1030:T1030::required::aetna-precert-list-2026:p11r30 | retired |
| aetna:commercial:T1031:T1031::required::aetna-precert-list-2026:p11r30 | retired |
| aetna:commercial:T2004:T2004::required::aetna-precert-list-2026:p7r2 | retired |
| aetna:commercial:T2007:T2007::required::aetna-precert-list-2026:p7r2 | retired |
| aetna:commercial:T2048:T2048::required:2024-08-01:aetna-bh-precert-list:p5r5 | retired |
| aetna:medicare_advantage:0094U:0094U::required::aetna-precert-list-2026:p15r42 | retired |
| aetna:medicare_advantage:0094U:0094U::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0213T:0213T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0214T:0214T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0214U:0214U::required::aetna-precert-list-2026:p15r42 | retired |
| aetna:medicare_advantage:0214U:0214U::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0215T:0215T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0215U:0215U::required::aetna-precert-list-2026:p15r42 | retired |
| aetna:medicare_advantage:0215U:0215U::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0216T:0216T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0217T:0217T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0218T:0218T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0335U:0335U::required::aetna-precert-list-2026:p15r42 | retired |
| aetna:medicare_advantage:0335U:0335U::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0336U:0336U::required::aetna-precert-list-2026:p15r42 | retired |
| aetna:medicare_advantage:0336U:0336U::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0362T:0362T::required:2024-08-01:aetna-bh-precert-list:p5r3 | retired |
| aetna:medicare_advantage:0373T:0373T::required:2024-08-01:aetna-bh-precert-list:p5r3 | retired |
| aetna:medicare_advantage:0395T:0395T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0425U:0425U::required::aetna-precert-list-2026:p15r42 | retired |
| aetna:medicare_advantage:0425U:0425U::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0426U:0426U::required::aetna-precert-list-2026:p15r42 | retired |
| aetna:medicare_advantage:0426U:0426U::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0515T:0515T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0516T:0516T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0517T:0517T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0519T:0519T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0520T:0520T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0524T:0524T::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:0609T:0609T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0610T:0610T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0611T:0611T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0612T:0612T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0614T:0614T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0627T:0627T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0628T:0628T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0629T:0629T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0630T:0630T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0633T:0633T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0634T:0634T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0635T:0635T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0636T:0636T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0637T:0637T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0638T:0638T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0710T:0710T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0711T:0711T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0712T:0712T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0713T:0713T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0742T:0742T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:0747T:0747T::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:11950:11950::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:11950:11950::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:11951:11951::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:11951:11951::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:11952:11952::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:11952:11952::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:11954:11954::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:11954:11954::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:13101:13101::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:13132:13132::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:14040:14040::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:14060:14060::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:14301:14301::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:15771:15771::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:15771:15771::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:15772:15772::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:15772:15772::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:15775:15775::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:15775:15775::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:15776:15776::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:15776:15776::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:15780:15780::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:15780:15780::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:15781:15781::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:15781:15781::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:15782:15782::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:15782:15782::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:15783:15783::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:15783:15783::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:15786:15786::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:15786:15786::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:15787:15787::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:15787:15787::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:15788:15788::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:15788:15788::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:15789:15789::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:15789:15789::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:15792:15792::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:15792:15792::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:15793:15793::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:15793:15793::required::aetna-precert-list-2026:p9r17 | retired |
Records are keyed as the API keys them (codes without the dot). JSON: GET /v1/changes?dataset=payer-prior-auth&version=2026-10-25.2 (Builder plan and up).