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:S4022:S4022::required::aetna-precert-list-2026:p10r21 | retired |
| aetna:medicare_advantage:S4022:S4022::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:S4023:S4023::required::aetna-precert-list-2026:p10r21 | retired |
| aetna:medicare_advantage:S4023:S4023::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:S4025:S4025::required::aetna-precert-list-2026:p10r21 | retired |
| aetna:medicare_advantage:S4025:S4025::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:S8035:S8035::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:S8037:S8037::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:S8042:S8042::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:S8092:S8092::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:S9123:S9123::required::aetna-precert-list-2026:p11r30 | retired |
| aetna:medicare_advantage:S9124:S9124::required::aetna-precert-list-2026:p11r30 | retired |
| aetna:medicare_advantage:S9960:S9960::required::aetna-precert-list-2026:p7r2 | retired |
| aetna:medicare_advantage:T1000:T1000::required::aetna-precert-list-2026:p11r30 | retired |
| aetna:medicare_advantage:T1030:T1030::required::aetna-precert-list-2026:p11r30 | retired |
| aetna:medicare_advantage:T1031:T1031::required::aetna-precert-list-2026:p11r30 | retired |
| aetna:medicare_advantage:T2004:T2004::required::aetna-precert-list-2026:p7r2 | retired |
| aetna:medicare_advantage:T2007:T2007::required::aetna-precert-list-2026:p7r2 | retired |
| aetna:medicare_advantage:T2048:T2048::required:2024-08-01:aetna-bh-precert-list:p5r5 | retired |
| cigna:commercial:0020M:0020M::required:2024-07-01:cigna-master-precert-list:p2r1 | retired |
| cigna:commercial:0036U:0036U::required:2026-05-14:cigna-master-precert-list:p2r2 | retired |
| cigna:commercial:0037U:0037U::required:2026-05-14:cigna-master-precert-list:p2r3 | retired |
| cigna:commercial:0047U:0047U::required:2025-11-20:cigna-master-precert-list:p2r4 | retired |
| cigna:commercial:0048U:0048U::required:2018-07-01:cigna-master-precert-list:p2r5 | retired |
| cigna:commercial:0071T:0071T::not_required:2025-04-25:cigna-master-precert-removed:p2r1 | retired |
| cigna:commercial:0071T:0071T::required:2006-10-01:cigna-master-precert-removed:p2r1 | retired |
| cigna:commercial:0072T:0072T::not_required:2025-04-25:cigna-master-precert-removed:p2r2 | retired |
| cigna:commercial:0072T:0072T::required:2006-10-01:cigna-master-precert-removed:p2r2 | retired |
| cigna:commercial:0075T:0075T::required:2019-10-25:cigna-master-precert-list:p2r6 | retired |
| cigna:commercial:0080U:0080U::not_required:2025-10-17:cigna-master-precert-removed:p2r3 | retired |
| cigna:commercial:0080U:0080U::required:2019-01-01:cigna-master-precert-removed:p2r3 | retired |
| cigna:commercial:0087U:0087U::required:2019-08-23:cigna-master-precert-list:p2r7 | retired |
| cigna:commercial:0088U:0088U::required:2019-08-23:cigna-master-precert-list:p2r8 | retired |
| cigna:commercial:0089U:0089U::required:2019-07-01:cigna-master-precert-list:p2r9 | retired |
| cigna:commercial:0098T:0098T::required:2006-10-01:cigna-master-precert-list:p2r10 | retired |
| cigna:commercial:0102U:0102U::required:2019-07-01:cigna-master-precert-list:p3r11 | retired |
| cigna:commercial:0118U:0118U::not_required:2024-10-31:cigna-master-precert-removed:p2r4 | retired |
| cigna:commercial:0118U:0118U::required:2019-10-01:cigna-master-precert-removed:p2r4 | retired |
| cigna:commercial:0540U:0540U::required:2025-04-01:cigna-master-precert-list:p7r77 | retired |
| cigna:commercial:0129U:0129U::required:2019-10-01:cigna-master-precert-list:p3r12 | retired |
| cigna:commercial:0132U:0132U::not_required:2025-12-31:cigna-master-precert-removed:p2r5 | retired |
| cigna:commercial:0132U:0132U::required:2019-10-01:cigna-master-precert-removed:p2r5 | retired |
| cigna:commercial:0169U:0169U::not_required:2024-10-31:cigna-master-precert-removed:p2r6 | retired |
| cigna:commercial:0169U:0169U::required:2020-04-01:cigna-master-precert-removed:p2r6 | retired |
| cigna:commercial:0172U:0172U::required:2020-07-01:cigna-master-precert-list:p3r13 | retired |
| cigna:commercial:0200T:0200T::required:2009-07-01:cigna-master-precert-list:p3r14 | retired |
| cigna:commercial:0201T:0201T::required:2009-07-01:cigna-master-precert-list:p3r15 | retired |
| cigna:commercial:0211U:0211U::required:2025-05-30:cigna-master-precert-list:p3r16 | retired |
| cigna:commercial:0213T:0213T::required:2016-01-01:cigna-master-precert-list:p3r17 | retired |
| cigna:commercial:0214T:0214T::required:2016-01-01:cigna-master-precert-list:p3r18 | retired |
| cigna:commercial:0215T:0215T::required:2016-01-01:cigna-master-precert-list:p3r19 | retired |
| cigna:commercial:0216T:0216T::required:2016-01-01:cigna-master-precert-list:p3r20 | retired |
| cigna:commercial:0217T:0217T::required:2016-01-01:cigna-master-precert-list:p3r21 | retired |
| cigna:commercial:0218T:0218T::required:2016-01-01:cigna-master-precert-list:p3r22 | retired |
| cigna:commercial:0232T:0232T::required:2010-07-01:cigna-master-precert-list:p3r23 | retired |
| cigna:commercial:0239U:0239U::required:2021-01-01:cigna-master-precert-list:p3r24 | retired |
| cigna:commercial:0242U:0242U::required:2021-04-01:cigna-master-precert-list:p3r25 | retired |
| cigna:commercial:0244U:0244U::required:2026-05-14:cigna-master-precert-list:p4r26 | retired |
| cigna:commercial:0245U:0245U::not_required:2024-10-31:cigna-master-precert-removed:p2r7 | retired |
| cigna:commercial:0245U:0245U::required:2021-04-01:cigna-master-precert-removed:p2r7 | retired |
| cigna:commercial:0250U:0250U::required:2026-05-14:cigna-master-precert-list:p4r27 | retired |
| cigna:commercial:0261U:0261U::not_required:2025-10-17:cigna-master-precert-removed:p2r8 | retired |
| cigna:commercial:0261U:0261U::required:2021-10-01:cigna-master-precert-removed:p2r8 | retired |
| cigna:commercial:0263T:0263T::not_required:2025-04-25:cigna-master-precert-removed:p2r9 | retired |
| cigna:commercial:0263T:0263T::required:2011-07-01:cigna-master-precert-removed:p2r9 | retired |
| cigna:commercial:0275T:0275T::not_required:2025-12-31:cigna-master-precert-removed:p2r10 | retired |
| cigna:commercial:0275T:0275T::required:2011-07-01:cigna-master-precert-removed:p2r10 | retired |
| cigna:commercial:0318U:0318U::required:2022-04-01:cigna-master-precert-list:p4r28 | retired |
| cigna:commercial:0326U:0326U::required:2022-07-01:cigna-master-precert-list:p4r29 | retired |
| cigna:commercial:0329U:0329U::required:2022-07-01:cigna-master-precert-list:p4r30 | retired |
| cigna:commercial:0331T:0331T::required:2013-07-01:cigna-master-precert-list:p4r31 | retired |
| cigna:commercial:0332T:0332T::required:2013-07-01:cigna-master-precert-list:p4r32 | retired |
| cigna:commercial:0334U:0334U::required:2026-05-14:cigna-master-precert-list:p4r33 | retired |
| cigna:commercial:0335T:0335T::required:2014-01-01:cigna-master-precert-list:p4r34 | retired |
| cigna:commercial:0340U:0340U::required:2024-09-27:cigna-master-precert-list:p4r35 | retired |
| cigna:commercial:0364U:0364U::required:2023-04-28:cigna-master-precert-list:p4r36 | retired |
| cigna:commercial:0365U:0365U::not_required:2024-10-31:cigna-master-precert-removed:p2r11 | retired |
| cigna:commercial:0365U:0365U::required:2023-04-28:cigna-master-precert-removed:p2r11 | retired |
| cigna:commercial:0366U:0366U::not_required:2024-10-31:cigna-master-precert-removed:p2r12 | retired |
| cigna:commercial:0366U:0366U::required:2023-04-28:cigna-master-precert-removed:p2r12 | retired |
| cigna:commercial:0367U:0367U::not_required:2024-10-31:cigna-master-precert-removed:p2r13 | retired |
| cigna:commercial:0367U:0367U::required:2023-04-28:cigna-master-precert-removed:p2r13 | retired |
| cigna:commercial:0373T:0373T::required:2014-07-01:cigna-master-precert-list:p4r37 | retired |
| cigna:commercial:0379U:0379U::required:2026-05-14:cigna-master-precert-list:p4r38 | retired |
| cigna:commercial:0384U:0384U::not_required:2025-10-17:cigna-master-precert-removed:p3r14 | retired |
| cigna:commercial:0384U:0384U::required:2023-04-28:cigna-master-precert-removed:p3r14 | retired |
| cigna:commercial:0385U:0385U::not_required:2025-10-17:cigna-master-precert-removed:p3r15 | retired |
| cigna:commercial:0385U:0385U::required:2023-04-28:cigna-master-precert-removed:p3r15 | retired |
| cigna:commercial:0388U:0388U::required:2025-05-30:cigna-master-precert-list:p4r39 | retired |
| cigna:commercial:0394T:0394T::not_required:2025-12-31:cigna-master-precert-removed:p3r16 | retired |
| cigna:commercial:0394T:0394T::required:2016-01-01:cigna-master-precert-removed:p3r16 | retired |
| cigna:commercial:0395T:0395T::required:2016-01-01:cigna-master-precert-list:p5r40 | retired |
| cigna:commercial:0425U:0425U::required:2024-01-01:cigna-master-precert-list:p5r41 | retired |
| cigna:commercial:0426U:0426U::required:2024-01-01:cigna-master-precert-list:p5r42 | retired |
| cigna:commercial:0441T:0441T::not_required:2026-05-14:cigna-master-precert-removed:p3r17 | retired |
| cigna:commercial:0441T:0441T::required:2016-07-01:cigna-master-precert-removed:p3r17 | retired |
| cigna:commercial:0442T:0442T::not_required:2026-05-14:cigna-master-precert-removed:p3r18 | retired |
| cigna:commercial:0442T:0442T::required:2016-07-01:cigna-master-precert-removed:p3r18 | retired |
| cigna:commercial:0443U:0443U::not_required:2025-03-28:cigna-master-precert-removed:p3r19 | retired |
| cigna:commercial:0443U:0443U::required:2024-04-01:cigna-master-precert-removed:p3r19 | 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).