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:medicare_advantage:37273:37273::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37274:37274::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37275:37275::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37276:37276::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37277:37277::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37278:37278::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37279:37279::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37280:37280::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37281:37281::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37282:37282::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37283:37283::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37284:37284::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37285:37285::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37286:37286::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37287:37287::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37288:37288::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37289:37289::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37290:37290::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37291:37291::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37292:37292::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37293:37293::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37294:37294::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37295:37295::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37700:37700::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:37718:37718::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:37722:37722::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:37735:37735::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:37760:37760::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:37761:37761::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:37780:37780::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:37785:37785::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:42140:42140::required::aetna-precert-list-2026:p14r40 | retired |
| aetna:medicare_advantage:42145:42145::required::aetna-precert-list-2026:p14r40 | retired |
| aetna:medicare_advantage:42299:42299::required::aetna-precert-list-2026:p14r40 | retired |
| aetna:medicare_advantage:43631:43631::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:43632:43632::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:43633:43633::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:43634:43634::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:43644:43644::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:43645:43645::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:43659:43659::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:43770:43770::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:43771:43771::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:43772:43772::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:43773:43773::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:43774:43774::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:43775:43775::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:43842:43842::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:43843:43843::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:43845:43845::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:43846:43846::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:43847:43847::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:43848:43848::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:43886:43886::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:43887:43887::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:43888:43888::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:43999:43999::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:49999:49999::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:52000:52000::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:53430:53430::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:53430:53430::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:53445:53445::required::aetna-precert-list-2026:p14r39 | retired |
| aetna:medicare_advantage:54125:54125::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:54125:54125::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:54400:54400::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:54400:54400::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:54401:54401::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:54401:54401::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:54405:54405::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:54405:54405::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:54406:54406::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:54406:54406::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:54408:54408::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:54408:54408::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:54410:54410::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:54410:54410::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:54411:54411::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:54411:54411::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:54415:54415::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:54415:54415::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:54416:54416::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:54416:54416::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:54417:54417::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:54417:54417::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:54520:54520::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:54520:54520::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:54660:54660::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:54660:54660::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:54690:54690::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:54690:54690::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:55175:55175::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:55175:55175::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:55180:55180::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:55180:55180::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:55880:55880::required::aetna-precert-list-2026:p11r31 | retired |
| aetna:medicare_advantage:55970:55970::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:55970:55970::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:55980:55980::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:55980:55980::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:56625:56625::required:2024-08-01:aetna-bh-precert-list:p5r4 | 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).