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:37284:37284::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:commercial:37285:37285::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:commercial:37286:37286::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:commercial:37287:37287::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:commercial:37288:37288::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:commercial:37289:37289::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:commercial:37290:37290::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:commercial:37291:37291::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:commercial:37292:37292::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:commercial:37293:37293::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:commercial:37294:37294::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:commercial:37295:37295::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:commercial:37700:37700::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:37718:37718::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:37722:37722::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:37735:37735::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:37760:37760::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:37761:37761::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:37780:37780::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:37785:37785::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:42140:42140::required::aetna-precert-list-2026:p14r40 | retired |
| aetna:commercial:42145:42145::required::aetna-precert-list-2026:p14r40 | retired |
| aetna:commercial:42299:42299::required::aetna-precert-list-2026:p14r40 | retired |
| aetna:commercial:54125:54125::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:43631:43631::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:43632:43632::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:43633:43633::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:43634:43634::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:43644:43644::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:43645:43645::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:43659:43659::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:43770:43770::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:43771:43771::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:43772:43772::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:43773:43773::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:43774:43774::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:43775:43775::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:43842:43842::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:43843:43843::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:43845:43845::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:43846:43846::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:43847:43847::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:43848:43848::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:43886:43886::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:43887:43887::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:43888:43888::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:43999:43999::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:49999:49999::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:commercial:52000:52000::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:commercial:53430:53430::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:53430:53430::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:commercial:53445:53445::required::aetna-precert-list-2026:p14r39 | retired |
| aetna:commercial:54125:54125::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:commercial:54400:54400::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:54400:54400::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:commercial:54401:54401::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:54401:54401::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:commercial:54405:54405::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:54405:54405::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:commercial:54406:54406::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:54406:54406::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:commercial:54408:54408::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:54408:54408::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:commercial:54410:54410::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:54410:54410::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:commercial:54411:54411::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:54411:54411::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:commercial:54415:54415::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:54415:54415::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:commercial:54416:54416::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:54416:54416::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:commercial:54417:54417::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:54417:54417::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:commercial:54520:54520::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:54520:54520::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:commercial:54660:54660::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:54660:54660::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:commercial:54690:54690::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:54690:54690::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:commercial:55175:55175::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:55175:55175::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:commercial:55180:55180::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:55180:55180::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:commercial:55880:55880::required::aetna-precert-list-2026:p11r31 | retired |
| aetna:commercial:55970:55970::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:55970:55970::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:commercial:55980:55980::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:55980:55980::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:commercial:56625:56625::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:56625:56625::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:commercial:56800:56800::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:56800:56800::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:commercial:56805:56805::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:56805:56805::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:commercial:56810:56810::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:56810:56810::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:commercial:57106:57106::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:57106:57106::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:commercial:57107:57107::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:commercial:57107:57107::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).