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:C8919:C8919::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:C8920:C8920::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:C8931:C8931::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:C8932:C8932::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:C8933:C8933::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:C8934:C8934::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:C8935:C8935::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:C8936:C8936::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:C9047:C9047::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:C9311:C9311::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:C9312:C9312::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:C9313:C9313::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:C9399:C9399::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:C9762:C9762::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:C9763:C9763::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:E0766:E0766::required::aetna-precert-list-2026:p14r38 | retired |
| aetna:medicare_advantage:E0983:E0983::required::aetna-precert-list-2026:p9r14 | retired |
| aetna:medicare_advantage:E1007:E1007::required::aetna-precert-list-2026:p9r14 | retired |
| aetna:medicare_advantage:E1220:E1220::required::aetna-precert-list-2026:p9r14 | retired |
| aetna:medicare_advantage:G0151:G0151::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:G0152:G0152::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:G0153:G0153::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:G0155:G0155::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:G0156:G0156::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:G0157:G0157::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:G0158:G0158::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:G0159:G0159::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:G0160:G0160::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:G0161:G0161::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:G0162:G0162::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:G0259:G0259::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:G0260:G0260::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:G0299:G0299::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:G0300:G0300::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:G0339:G0339::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:G0340:G0340::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:G0410:G0410::unclear::aetna-bh-precert-list:p5r2 | retired |
| aetna:medicare_advantage:G0411:G0411::unclear::aetna-bh-precert-list:p5r2 | retired |
| aetna:medicare_advantage:G0493:G0493::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:G0494:G0494::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:G0495:G0495::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:G0496:G0496::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:G2168:G2168::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:G2169:G2169::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:H0010:H0010::required:2024-08-01:aetna-bh-precert-list:p5r5 | retired |
| aetna:medicare_advantage:H0011:H0011::required:2024-08-01:aetna-bh-precert-list:p5r5 | retired |
| aetna:medicare_advantage:H0017:H0017::required:2024-08-01:aetna-bh-precert-list:p5r5 | retired |
| aetna:medicare_advantage:H0018:H0018::required:2024-08-01:aetna-bh-precert-list:p5r5 | retired |
| aetna:medicare_advantage:H0019:H0019::required:2024-08-01:aetna-bh-precert-list:p5r5 | retired |
| aetna:medicare_advantage:H0035:H0035::unclear::aetna-bh-precert-list:p5r2 | retired |
| aetna:medicare_advantage:H2034:H2034::required:2024-08-01:aetna-bh-precert-list:p5r5 | retired |
| aetna:medicare_advantage:H2036:H2036::unclear::aetna-bh-precert-list:p5r2 | retired |
| aetna:medicare_advantage:J0013:J0013::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0129:J0129::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0174:J0174::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0175:J0175::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0177:J0177::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0178:J0178::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0179:J0179::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0180:J0180::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0202:J0202::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0208:J0208::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0217:J0217::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0218:J0218::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0219:J0219::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0220:J0220::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0221:J0221::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0222:J0222::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0223:J0223::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0224:J0224::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0225:J0225::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0256:J0256::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0257:J0257::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0490:J0490::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0491:J0491::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0517:J0517::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0567:J0567::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0584:J0584::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0585:J0585::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0586:J0586::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0587:J0587::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0588:J0588::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0589:J0589::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0593:J0593::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0596:J0596::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0597:J0597::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0598:J0598::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0599:J0599::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0606:J0606::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0630:J0630::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0638:J0638::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0642:J0642::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0644:J0644::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0717:J0717::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0725:J0725::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0741:J0741::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0791:J0791::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0801:J0801::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0802:J0802::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:J0870:J0870::unclear::aetna-precert-list-2026:p16rest | 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).