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Dành cho nhà môi giới

Chương trình bảo hiểm toàn phần cho các nhóm tại Texas có từ 51 nhân viên trở lên. Gói phúc lợi dễ chào bán nhất mà quý vị từng giới thiệu.

Tổng quan về Nhà môi giới

Khám phá

Chúng tôi dành cho aiCác nhóm tại Texas sẵn sàng cho một cách tiếp cận tốt hơn.Thiết kế chương trìnhPhúc lợi phong phú, đủ điều kiện HSA hoặc phân bậc. Tất cả đều là bảo hiểm toàn phần.Phạm vi bảo hiểmChăm sóc trực tiếp, cùng với chăm sóc từ xa $0 và Phần thưởng.Kết quảHội viên tích cực tham gia sẽ được chăm sóc sớm hơn.

Hợp tác với chúng tôi

Bảng điều khiển trực tiếpDanh mục khách hàng của quý vị, cập nhật theo thời gian thực.Cổng thông tin khách hàng & nhà môi giớiNhóm, thanh toán và gia hạn.Liên kết hữu íchMọi thứ quý vị cần để báo giá và hỗ trợ khách hàng.
Giải pháp trọn gói cho khách hàng của quý vịMỗi nhóm đều có một người quản lý tài khoản. Mỗi hội viên đều có một Người Hướng dẫn Chăm sóc.Xem cách hoạt động
Liên hệ bộ phận kinh doanh855-579-3879

Dành cho chủ lao động

Ngân sách của quý vị được lợi. Nhân viên của quý vị cũng vậy. Chương trình bảo hiểm sức khỏe dành cho chủ lao động tại Texas có từ 51 nhân viên trở lên.

Tổng quan về Chủ lao động

Khám phá

Dành cho aiChủ lao động sẵn sàng hợp tác vì một cách tiếp cận tốt hơn.Thiết kế chương trìnhChương trình thông minh hơn, có lựa chọn khoản khấu trừ $0.Phạm vi bảo hiểmPhúc lợi mà nhân viên của quý vị sẽ thực sự sử dụng.Gắn kết hội viênChúng tôi gắn kết với hội viên ngay từ ngày đầu tiên và suốt cả năm.

Quản lý chương trình

Bảng điều khiển trực tiếpYêu cầu bồi thường, mức độ gắn kết và hiệu quả chương trình, cập nhật trực tiếp.Cổng thông tin khách hàngNhóm, thanh toán và gia hạn.Câu chuyện khách hàngNghe chính khách hàng của chúng tôi chia sẻ.
Chủ lao động đã chuyển sang đều gắn bó lâu dàiChi phí thấp hơn, nhân viên hài lòng hơn và việc chăm sóc bắt đầu sớm hơn.Xem số liệu
Liên hệ bộ phận kinh doanh855-579-3879

Dành cho hội viên

Bảo hiểm thực sự có mặt khi quý vị cần. Phạm vi bảo hiểm thực chất, một y tá riêng và dịch vụ chăm sóc $0 có sẵn.

Tổng quan về Hội viên

Nhận chăm sóc

Tìm nhà cung cấp dịch vụ y tếXây dựng mối quan hệ tốt đẹp với một bác sĩ tại địa phương.Chăm sóc từ xaBác sĩ có chứng nhận chuyên khoa, 24/7, với giá $0.Người Hướng dẫn Chăm sóc của quý vịMột y tá RN riêng, luôn đồng hành cùng quý vị.Tìm nhà thuốcTìm nhà thuốc gần quý vị.Tra cứu thuốc theo toaDễ dàng tìm các loại thuốc được bảo hiểm chi trả.

Chương trình của quý vị

Cổng thông tin hội viênQuyền lợi, yêu cầu bồi thường, thẻ hội viên và Phần thưởng.Phần thưởngNhận đến $1,000 tiền mặt thật sự mỗi năm.Ứng dụng EvryMọi quyền lợi, ngay trong túi của quý vị.Mẫu đơn & thông báoTải xuống bất kỳ mẫu đơn nào quý vị cần.Đề xuất nhà cung cấpĐề nghị chúng tôi thêm một bác sĩ vào mạng lưới.
Gặp Người Hướng dẫn Chăm sóc của quý vịMột y tá có giấy phép hành nghề, người hiểu rõ quý vị, chương trình bảo hiểm và mục tiêu của quý vị.Tìm hiểu thêm
Hỗ trợ hội viên 855-579-3879Đăng nhập vào cổng thông tin hội viên

Dành cho nhà cung cấp dịch vụ y tế

Là đối tác, không phải rào cản. Kiểm tra điều kiện bảo hiểm, yêu cầu bồi thường và cho phép trước ở cùng một nơi, không phải qua tổng đài tự động.

Tổng quan về Nhà cung cấp

Xác minh

Xác minh điều kiện bảo hiểmĐiều kiện bảo hiểm và tình trạng mạng lưới theo thời gian thực.Xác minh yêu cầu bồi thườngTình trạng yêu cầu bồi thường và giải thích thanh toán.Tình trạng cho phép trướcCác chấp thuận đã lưu trong hồ sơ theo NPI của quý vị.

Cho phép trước

Kiểm tra xem có cần khôngXem những thủ thuật nào cần cho phép trước.Gửi yêu cầuGửi trực tuyến và nhận số tham chiếu hồ sơ.Cập nhật về danh sáchCác thay đổi gần đây trong danh sách cho phép trước.

Chính sách & tài liệu

Thông báo & nhập việnGiúp yêu cầu bồi thường nội trú được thanh toán chính xác và đúng hạn.Xem xét hồi tốQuyết định chi trả bảo hiểm sau khi điều trị.Hướng dẫn lâm sàngHướng dẫn thực hành dựa trên bằng chứng.Mẫu đơn & thông báoSổ tay dành cho nhà cung cấp, mẫu đơn và thông báo.
Tham gia mạng lưới Evry HealthĐường dây dành cho nhà cung cấp 855-579-3879Danh bạ nhà cung cấp

Evry Health

Bảo hiểm sức khỏe dám đương đầu với hệ thống. Trụ sở chính tại DFW, phục vụ toàn tiểu bang Texas.

Tổng quan về chúng tôi

Công ty

Câu chuyện của chúng tôiVì sao chúng tôi quyết tâm xây dựng một chương trình bảo hiểm sức khỏe tốt hơn.Tuyển dụngChúng tôi đang giúp bảo hiểm sức khỏe hoạt động hiệu quả trở lại.Tin tứcTin mới nhất từ Evry Health.Liên hệChúng tôi luôn sẵn sàng giải đáp mọi thắc mắc của quý vị.
Với chúng tôi, đây là chuyện cá nhânVì sao một đội ngũ tại Dallas quyết tâm xây dựng một chương trình bảo hiểm sức khỏe thật sự phục vụ những người tham gia.Đọc lá thưGia nhập đội ngũLàm việc cùng những đồng nghiệp quý vị thật sự hợp ý, vì một sứ mệnh đáng để dốc sức.Vị trí đang tuyển
Theo dõi chúng tôi trên LinkedIncontact@evryhealth.com

Cập nhật danh sách cho phép trước

Các cập nhật về yêu cầu cho phép trước đối với dịch vụ y tế. Tìm kiếm theo mã thủ thuật hoặc mô tả.

Chưa chắc chắn về một mã?

Kiểm tra xem có cần cho phép trước không

Có thắc mắc?

Gọi số 855-579-3879

Cập nhật danh sách cho phép trước đối với dịch vụ y tế

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10/07/20260498UONC CLRCT NGS MUT DETC 43GENPrior Authorization Required12/01/2026
10/07/20260497UONC PRST8 MRNA RT-PCR 6GENESPrior Authorization Required12/01/2026
10/07/20260496UONC CLRCT CFDNA 8/7 GENESPrior Authorization Required12/01/2026
10/07/20260495UONC PRST8 ALYS CRCG PLSM PRTPrior Authorization Required12/01/2026
10/07/20260494URBC AG FTL RHD GENE ALYS NGSPrior Authorization Required12/01/2026
10/07/20260493UTRNSPL MED QUAN DD-CFDNA NGSPrior Authorization Required12/01/2026
10/07/20260492UONC SOL TUM CTC SLCTN PD-L1Prior Authorization Required12/01/2026
10/07/20260491UONC SOL TUM CTC SLCT ER PRTNPrior Authorization Required12/01/2026
10/07/20260490UONC CUTAN/UVEAL MLNMA CD146Prior Authorization Required12/01/2026
10/07/20260489UOB SGNIPT CFDNA SEQ ALYS 1+Prior Authorization Required12/01/2026
10/07/20260488UOB FETAL AG NIPT CFDNA ALYSPrior Authorization Required12/01/2026
10/07/20260487UONC SOL TUM CFCDNA TGSAP 84Prior Authorization Required12/01/2026
10/07/20260486UONC PAN SOL TUM NGS CFCTDNAPrior Authorization Required12/01/2026
10/07/20260485UONC SOL TUM CFDNA&RNA NGS GMPrior Authorization Required12/01/2026
10/07/20260484UNFCT DS MGEN 23S RRNA PT MUTPrior Authorization Required12/01/2026
10/07/20260483UNFCT DS NG GYRA S91F PT MUTPrior Authorization Required12/01/2026
10/07/20260482UOB PE BIOCHEM ASY SFLT1&PLGFPrior Authorization Required12/01/2026
10/07/20260481UIDH1 IDH2&TERT PROMOTER NGSPrior Authorization Required12/01/2026
10/07/20260480UNFCT DS CSF METAG NGS ALYSPrior Authorization Required12/01/2026
10/07/20260479UTAU PHOSPHORYLATED PTAU217Prior Authorization Required12/01/2026
10/07/20260478UONC NSCLC DNA&RNA DPCR 9GENSPrior Authorization Required12/01/2026
10/07/20260477URX METAB PSY 14&CYP2D6 GN-RXPrior Authorization Required12/01/2026
10/07/20260476URX METAB PSYC 14GEN&CYP2D6Prior Authorization Required12/01/2026
10/07/20260475UHERED PRST8 CA GSAP 23 GENESPrior Authorization Required12/01/2026
10/07/20260474UHERED PAN CA GSAP 88GENE NGSPrior Authorization Required12/01/2026
10/07/20260472UCA VI PSP&SP1 ANTB SJOGRENPrior Authorization Required12/01/2026
10/07/20260471UONC CLRC CA 35 VRN KRAS&NRASPrior Authorization Required12/01/2026
10/07/20260470UONC OROP DETCJ MRD 8 DNA HPVPrior Authorization Required12/01/2026
10/07/20260469URARE DS WHL GEN SEQ FTL SAMPPrior Authorization Required12/01/2026
10/07/20260468UHEP NASH MIR-34A5P A2M YKL40Prior Authorization Required12/01/2026
10/07/20260467UONC BLDR DNA NGS 60GEN&ANEUPPrior Authorization Required12/01/2026
10/07/20260466UCRD CAD DNA GWAS 564856 SNPPrior Authorization Required12/01/2026
10/07/20260465UONC URTHL CARC DNA QMSP 2GENPrior Authorization Required12/01/2026
10/07/20260464UONC CLRCT SCR QRTSA DNA MRKPrior Authorization Required12/01/2026
10/07/20260463UONC CRVX MRNA GENXPRSN 14BMKPrior Authorization Required12/01/2026
10/07/20260462UMELATONIN LVL TST SLP STD7/9Prior Authorization Required12/01/2026
10/07/20260461UONC RXGENOM ALYS RTPCR 24GENPrior Authorization Required12/01/2026
10/07/20260460UONC WHL BLD/BUCC RTPCR 24GENPrior Authorization Required12/01/2026
10/07/20260459UABETA42 & TTAU ECLIA CSF I CodePrior Authorization Required12/01/2026
10/07/20260458UONC BRST CA S100 A8&A9 ELISAPrior Authorization Required12/01/2026
10/07/20260457UPFAS 9 CMPND LC-MS/MS PLS/SRPrior Authorization Required12/01/2026
10/07/20260456UAI RA NGS 19 GENES ANTI-CCPPrior Authorization Required12/01/2026
10/07/20260454URARE DS ID OPT GENOME MAPGPrior Authorization Required12/01/2026
10/07/20260453UONC CLRCT CA CFDNA QPCR ASYPrior Authorization Required12/01/2026
10/07/20260452UONC BLDR MTHYL PENK LTE-QMSPPrior Authorization Required12/01/2026
10/07/20260451UONC MM LC-MS/MS MONOC P-PRTNPrior Authorization Required12/01/2026
10/07/20260450UONC MM LC-MS/MS MONOC P-PRTNPrior Authorization Required12/01/2026
10/07/20260449UCAR SCR SEV INH COND 5 GENESPrior Authorization Required12/01/2026
10/07/20260448UONC LNG&CLN CA DNA QUAL NGSPrior Authorization Required12/01/2026
10/07/20260447UAI DS SLE ALYS 11 CYTOKINEPrior Authorization Required12/01/2026
10/07/20260446UAI DS SLE ALYS 10 CYTOKINEPrior Authorization Required12/01/2026
10/07/20260445UABETATA42 & PTAU181 ECLIA CSFPrior Authorization Required12/01/2026
10/07/20260444UONC SLD ORGN NEO TGSAP 361Prior Authorization Required12/01/2026
10/07/20260443UNEURFLMNT LT CHN ULTRSENS IAPrior Authorization Required12/01/2026
10/07/20260440UCRD CHD DNA ALYS 10 SNP 6DNAPrior Authorization Required12/01/2026
10/07/20260439UCRD CHD DNA ALYS 5 SNP 3 DNAPrior Authorization Required12/01/2026
10/07/20260438URX METAB ADVRS VRNT ALYS 33Prior Authorization Required12/01/2026
10/07/20260437UPSYC ANXIETY DO MRNA 15 BMRKPrior Authorization Required12/01/2026
10/07/20260436UONC LNG PLSM ALYS 388 PRTNPrior Authorization Required12/01/2026
10/07/20260435UONC CHEMO RX CYTOX CSC 14 RXPrior Authorization Required12/01/2026
10/07/20260434URX METAB ADVRS VRNT ALYS 25Prior Authorization Required12/01/2026
10/07/20260433UONC PRST8 5 DNA REG MRK PCRPrior Authorization Required12/01/2026
10/07/20260432UKLHL11 ANTB SR/CSF ASY QUALPrior Authorization Required12/01/2026
10/07/20260431UGLY RCPTR ALPHA1 IGG SRM/CSFPrior Authorization Required12/01/2026
10/07/20260430UGI MALABS AAT CALPRO PNCRTCPrior Authorization Required12/01/2026
10/07/20260429UHPV OROP SWAB 14 HI-RISK TYPPrior Authorization Required12/01/2026
10/07/20260428UONC BRST CTDNA ALYS 56/> GENPrior Authorization Required12/01/2026
10/07/20260427UMONOCYTE DSTRBJ WDTH WHL BLDPrior Authorization Required12/01/2026
10/07/20260426UGENOME ULTRA-RAPID SEQ ALYSPrior Authorization Required12/01/2026
10/07/20260425UGENOM RPD SEQ ALYS EA CMPRTRPrior Authorization Required12/01/2026
10/07/20260424UONC PRST8 XOM ALYS 53 SNCRNAPrior Authorization Required12/01/2026
10/07/20260423UPSYC GENOMIC ALYS PNL 26 GENPrior Authorization Required12/01/2026
10/07/20260422UONC PAN SOLID TUM ALYS DNAPrior Authorization Required12/01/2026
10/07/20260421UONC CLRCT SCR SGL AMP 8 RNAPrior Authorization Required12/01/2026
10/07/20260420UONC URTHL MRNA XPRSN 6 SNPPrior Authorization Required12/01/2026
10/07/20260308UCRD CAD ALYS 3 PRTN PLSM ALGPrior Authorization Required12/01/2026
10/07/20260307UONC MRD NXT-GNRJ ALYS SBSQPrior Authorization Required12/01/2026
10/07/20260306UONC MRD NXT-GNRJ ALYS 1STPrior Authorization Required12/01/2026
10/07/20260305UHEM RBC FNCLTY&DFRM SHR STRSPrior Authorization Required12/01/2026
10/07/20260304UHEM RBC ADS WHL BLD NORMOXICPrior Authorization Required12/01/2026
10/07/20260303UHEM RBC ADS WHL BLD HYPOXICPrior Authorization Required12/01/2026
10/07/20260302UIADNA BRTNLA DDPCR FLWG LIQPrior Authorization Required12/01/2026
10/07/20260301UIADNA BARTONELLA DDPCRPrior Authorization Required12/01/2026
10/07/20260296UONC ORL&/OROP CA 20 MLC FEATPrior Authorization Required12/01/2026
10/07/20260295UONC BRST DUX CARC 7 PROTEINSPrior Authorization Required12/01/2026
10/07/20260294ULNGVTY&MRTLTY RSK MRNA 18GENPrior Authorization Required12/01/2026
10/07/20260293UPSYC SUICIDAL IDEA MRNA 54Prior Authorization Required12/01/2026
10/07/20260292UPSYC STRS DO MRNA 72 GENESPrior Authorization Required12/01/2026
10/07/20260291UPSYC MOOD DO MRNA 144 GENESPrior Authorization Required12/01/2026
10/07/20260290UPAIN MGMT MRNA GEN XPRSN 36Prior Authorization Required12/01/2026
10/07/20260289UNEURO ALZHEIMER MRNA 24 GENPrior Authorization Required12/01/2026
10/07/20260288UONC LUNG MRNA QUAN PCR 11&3Prior Authorization Required12/01/2026
10/07/20260287UONC THYR DNA&MRNA 112 GENESPrior Authorization Required12/01/2026
10/07/20260286UCEP72 NUDT15&TPMT GENE ALYSPrior Authorization Required12/01/2026
10/07/20260285UONC DS PROG&RSPSE MNTR RADJPrior Authorization Required12/01/2026
10/07/20260284UVW FACOR TYPE 2N EVAL PLSMPrior Authorization Required12/01/2026
10/07/20260283URBC DNA GNTYP 12 BLD GRP GENPrior Authorization Required12/01/2026
10/07/20260282URBC DNA GNTYP 12 BLD GRP GENPrior Authorization Required12/01/2026
10/07/20260281UHEM VWD PROPEPTIDE AG LVLPrior Authorization Required12/01/2026
10/07/20260280UHEM VW FACTOR&CLGN IV BNDGPrior Authorization Required12/01/2026
10/07/20260279UHEM VW FACTOR&CLGN III BNDGPrior Authorization Required12/01/2026
10/07/20260278UHEM GEN PLTLT FUNCJ DO 31Prior Authorization Required12/01/2026
10/07/20260277UHEM GEN PLTLT FUNCJ DO 31Prior Authorization Required12/01/2026
10/07/20260274UHEM GEN PLTLT DO 43 GENESPrior Authorization Required12/01/2026
10/07/20260276UHEM INH THROMBOCYTOPENIA 42Prior Authorization Required12/01/2026
10/07/20260273UHEM GEN HYPRFIBRNLYSIS 9 GENPrior Authorization Required12/01/2026
10/07/20260272UHEM GENETIC BLD DO 51 GENESPrior Authorization Required12/01/2026
10/07/20260271UHEM CGEN NEUTROPENIA 23 GENPrior Authorization Required12/01/2026
10/07/20260270UHEM CGEN COAGJ DO 20 GENESPrior Authorization Required12/01/2027
10/07/20260269UHEM AUT DM CGEN TRMBCTPNA 14Prior Authorization Required12/01/2026
10/07/20260268UHEM AHUS GEN SEQ ALYS 15 GENPrior Authorization Required12/01/2026
10/07/20260267URARE DO ID OPT GEN MAPG&SEQPrior Authorization Required12/01/2026
10/07/20260266UUNXPL CNST HRTBL DO GN XPRSNPrior Authorization Required12/01/2026
10/07/20260265URAR DO WHL GN&MTCDRL DNA ALSPrior Authorization Required12/01/2026
10/07/20260264URARE DS ID OPT GENOME MAPGPrior Authorization Required12/01/2026
10/07/20260263UNEURO ASD MEAS 16 C METBLTPrior Authorization Required12/01/2026
10/07/20260262UONC SLD TUM RT-PCR 7 GENPrior Authorization Required12/01/2026
10/07/20260261UONC CLRCT CA IMG ALYS W/AIPrior Authorization Required12/01/2026
10/07/20260260URARE DS ID OPT GENOME MAPGPrior Authorization Required12/01/2026
10/07/20260259UNEPH CKD NUC MRS MEAS GFRPrior Authorization Required12/01/2026
10/07/20260258UAI PSOR MRNA 50-100 GEN ALGPrior Authorization Required12/01/2026
10/07/20260257UVLCAD LEUK NZM ACTV WHL BLDPrior Authorization Required12/01/2026
10/07/20260256UTMA/TMAO PRFL MS/MS UR ALGPrior Authorization Required12/01/2026
10/07/20260255UANDROLOGY INFERTILITY ASSMTPrior Authorization Required12/01/2026
10/07/20260254UREPRDTVE MED ALYS 24 CHRMSMPrior Authorization Required12/01/2026
10/07/20260253URPRDTVE MED RNA GEN PRFL 238Prior Authorization Required12/01/2026
10/07/20260252UFTL ANEUPLOIDY STR ALYS DNAPrior Authorization Required12/01/2026
10/07/20260251UHEPCIDIN-25 ELISA SERUM/PLSMPrior Authorization Required12/01/2026
10/07/20260249UONC BRST ALYS 32 PHSPRTN ALGPrior Authorization Required12/01/2026
10/07/20260248UONC BRN SPHRD CLL 12 RX PNLPrior Authorization Required12/01/2026
10/07/202625448ARTHRP NTRCRPL/CRP/MTCRP SSPPrior Authorization Required12/01/2026
10/07/20260510UONC PNCRTC CA ALG ALYS 16GENPrior Authorization Required12/01/2026
10/07/20260485UONC SOL TUM CFDNA&RNA NGS GMPrior Authorization Required12/01/2026
10/07/20260421UONC CLRCT SCR SGL AMP 8 RNAPrior Authorization Required12/01/2026
10/07/202675580N-INVAS EST C FFR SW ALY CTAPrior Authorization Required12/01/2026
10/07/20260246URBC DNA GNOTYP 16 BLD GROUPSPrior Authorization Required12/01/2026
10/07/20260241UNFCT DS VIR RESP RNA 4 TRGTPrior Authorization Required12/01/2026
10/07/20260066UPAMG-1 IA CERVICO-VAG FLUIDNot reimbursable/not covered11/01/2026
10/07/2026S1040CRANIAL REMOLD ORTHOT PED CUST FABPrior Authorization Required11/01/2026
10/01/20260245UONC THYR MUT ALYS 10 GEN&37Prior Authorization Required12/01/2026
10/01/20260244UONC SOLID ORGN DNA 257 GENESPrior Authorization Required12/01/2026
10/01/20260243UOB PE BIOCHEM ASSAY PGF ALGPrior Authorization Required12/01/2026
10/01/20260242UTRGT GEN SEQ ALYS PNL 55-74Prior Authorization Required12/01/2026
10/01/20260240UNFCT DS VIR RESP RNA 3 TRGTPrior Authorization Required12/01/2026
10/01/20260239UTRGT GEN SEQ ALYS PNL 311+Prior Authorization Required12/01/2026
08/24/2026S0201PART HOSPITALIZATN SRVC<24 HR-DIEMCode Requires Authorization08/25/2026
08/24/2026S9480INTENSIVE OP PSYC SERVICES PER DIEMCode Requires Authorization08/25/2026
08/24/202638222DX BONE MARROW BX & ASPIRCode Does Not Require Authorization09/01/2026
08/24/202646600DIAGNOSTIC ANOSCOPY SPXCode Does Not Require Authorization09/01/2026
08/24/202658555HYSTEROSCOPY DX SEP PROCCode Does Not Require Authorization09/01/2026
08/24/202644205LAP COLECTOMY PART W/ILEUMCode Does Not Require Authorization09/01/2026
08/24/2026S1040CRANIAL REMOLD ORTHOT PED CUST FABCode Requires Prior Authorization11/01/2026
08/24/2026E0603BREAST PUMP ELECTRIC ANY TYPECode Does Not Require Authorization09/01/2026
08/24/2026E0602Breast Pump Manual Any TypeCode Does Not Require Authorization09/01/2026
08/24/202692235FLUORESCEIN ANGRPH UNI/BICode Does Not Require Authorization09/01/2026
08/24/2026A9595PIFLUFOLASTAT F-18 DIAGNOSTIC 1 MCICode Does Not Require Authorization09/01/2026
08/24/202697010Hot of Cold Packs TherapyCodes Does Not Require Authorization07/01/2026
07/31/202626010DRAINAGE OF FINGER ABSCESSCode Does Not Require Authorization09/01/2026
07/31/202626011DRAINAGE OF FINGER ABSCESSCode Does Not Require Authorization09/01/2026
07/31/202636000PLACE NEEDLE IN VEINCode Does Not Require Authorization09/01/2026
07/31/202671271CT THORAX LUNG CANCER SCR C-Code Does Not Require Authorization09/01/2026
07/31/202631237NSL/SINS NDSC SURG BX POLYPCCode Does Not Require Authorization09/01/2026
07/31/202645390COLONOSCOPY W/RESECTIONCode Does Not Require Authorization09/01/2026
07/31/202645350SGMDSC W/BAND LIGATIONCode Does Not Require Authorization09/01/2026
07/31/202645398COLONOSCOPY W/BAND LIGATIONCode Does Not Require Authorization09/01/2026
07/31/202646600DIAGNOSTIC ANOSCOPY SPXCode Does Not Require Authorization09/01/2026
07/31/202646221LIGATION OF HEMORRHOID(S)Code Does Not Require Authorization09/01/2026
07/31/202631237NASAL/SINUS ENDOSCOPY SURGCodes Does Not Require Authorization09/01/2026
06/29/202620526Therapeutic Injection Carpal TunnelCodes Does Not Require Authorization08/01/2026
06/29/202629131APPLICATION OF FINGER SPLINTCode Does Not Require Prior Authorization08/01/2026
06/29/202629086APPLY FINGER CASTCode Does Not Require Prior Authorization08/01/2026
06/29/202660240Removal of thyroidCode Requires Prior Authorization08/01/2026
06/29/202629085APPLY HAND/WRIST CASTCode Does Not Require Authorization08/01/2026
06/29/2026S2900SURG TECH RQR USE ROBOTIC SURG SYSThis procedure/service code is not eligible for reimbursement08/01/2026
06/29/202697535SELF CARE MNGMENT TRAININGCode Does Not Require Authorization08/01/2026
05/22/202636591Insert Tunneled CV CathCodes Does Not Require Authorization07/01/2026
05/22/202636590REMOVAL TUNNELED CV CATHCode Does Not Require Authorization07/01/2026
05/01/2026J0013Esketamine Nasal SprayCode Requires Prior Authorization05/01/2026
05/01/202660240Removal of thyroidCode Requires Prior Authorization05/01/2026
05/01/202641899unlisted procedure code used for dental procedures involving dentoalveolar structures when no specific CPT code applies.Code Requires Prior Authorization05/01/2026
05/01/2026L5992All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (SACH) replacement onlyCode Requires Prior Authorization05/01/2026
05/01/2026L2221Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power sourceCode Requires Prior Authorization05/01/2026
05/01/2026A6548Accessory to custom gradient compression garment, silicone band, any sizeCode Does Not Require Authorization05/01/2026
05/01/2026A4479Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any typeCode Does Not Require Authorization05/01/2026
05/01/2026A4318Female external urinary collection cup, with or without ring attachment, per dayCode Does Not Require Authorization05/01/2026
03/18/20264070FDVT PROPHYLX RECVD DAY 2Code Does Not Require Authorization03/20/2026
03/18/20264073FORAL ANTIPLAT THX RX DISCHRGCode Does Not Require Authorization03/20/2026
03/18/20264075FANTICOAG THX RX AT DISCHRGCode Does Not Require Authorization03/20/2026
03/18/20264077FDOC T-PA ADMIN CONSIDEREDCode Does Not Require Authorization03/20/2026
03/18/20264079FDOC REHAB SVCS CONSIDEREDCode Does Not Require Authorization03/20/2026
03/18/20264084FASPIRIN RECVD W/IN 24 HRSCode Does Not Require Authorization03/20/2026
03/18/20264086FASPIRIN/CLOPIDOGREL RXDCode Does Not Require Authorization03/20/2026
03/18/20264090FPT RCVNG EPO THXPYCode Does Not Require Authorization03/20/2026
03/18/20264095FPT NOT RCVNG EPO THXPYCode Does Not Require Authorization03/20/2026
03/18/20264100FBIPHOS THXPY VEIN ORD/RECVDCode Does Not Require Authorization03/20/2026
03/18/20264110FINT MAM ART USED FOR CABGCode Does Not Require Authorization03/20/2026
03/18/20264115FBETA BLCKR ADMIN W/IN 24 HRSCode Does Not Require Authorization03/20/2026
03/18/20264120FANTIBIOT RXD/GIVENCode Does Not Require Authorization03/20/2026
03/18/20264124FANTIBIOT NOT RXD/GIVENCode Does Not Require Authorization03/20/2026
03/18/20264130FTOPICAL PREP RX AOECode Does Not Require Authorization03/20/2026
03/18/20264131FSYST ANTIMICROBIAL THX RXCode Does Not Require Authorization03/20/2026
03/18/20264132FNO SYST ANTIMICROBIAL THX RXCode Does Not Require Authorization03/20/2026
03/18/20264133FANTIHIST/DECONG RX/RECOMCode Does Not Require Authorization03/20/2026
03/18/20264134FNO ANTIHIST/DECONG RX/RECOMCode Does Not Require Authorization03/20/2026
03/18/20264135FSYSTEMIC CORTICOSTEROIDS RXCode Does Not Require Authorization03/20/2026
03/18/20264136FSYST CORTICOSTEROIDS NOT RXCode Does Not Require Authorization03/20/2026
03/18/20264140FINHALED CORTICOSTEROIDS RXDCode Does Not Require Authorization03/20/2026
03/18/20264142FCORTICOSTER SPARNG THRPY RXDCode Does Not Require Authorization03/20/2026
03/18/20264144FALT LONG-TERM CNTRL MED RXDCode Does Not Require Authorization03/20/2026
03/18/20264145F2+ ANTI-HYPRTNSV AGENTS TKNCode Does Not Require Authorization03/20/2026
03/18/20264148FHEP A VAC INJXN ADMIN/RECVDCode Does Not Require Authorization03/20/2026
03/18/20264149FHEP B VAC INJXN ADMIN/RECVDCode Does Not Require Authorization03/20/2026
03/18/20264150FPT RECVNG ANTIVIR TXMNT HEPCCode Does Not Require Authorization03/20/2026
03/18/20264151FPT NOT RECVNG ANTIV HEP CCode Does Not Require Authorization03/20/2026
03/18/20264153FCOMBO PEGINTF/RIB RXCode Does Not Require Authorization03/20/2026
03/18/20264155FHEP A VAC SERIES PREV RECVDCode Does Not Require Authorization03/20/2026
03/18/20264157FHEP B VAC SERIES PREV RECVDCode Does Not Require Authorization03/20/2026
03/18/20264158FPT EDU RE ALCOH DRNKNG DONECode Does Not Require Authorization03/20/2026
03/18/20264159FCONTRCP TALK B/4 ANTIV TXMNTCode Does Not Require Authorization03/20/2026
03/18/20264163FPT COUNS 4 TXMNT OPT PROSTCode Does Not Require Authorization03/20/2026
03/18/20264164FADJV HRMNL THXPY RXDCode Does Not Require Authorization03/20/2026
03/18/20264167FHD BED TILTED 1ST DAY VENTCode Does Not Require Authorization03/20/2026
03/18/20264168FPT CARE ICU&VENT W/IN 24HRSCode Does Not Require Authorization03/20/2026
03/18/20264169FNO PT CARE ICU/VENT IN 24HRSCode Does Not Require Authorization03/20/2026
03/18/20264171FPT RCVNG ESA THXPYCode Does Not Require Authorization03/20/2026
03/18/20264172FPT NOT RCVNG ESA THXPYCode Does Not Require Authorization03/20/2026
03/18/20264174FCOUNS POTENT GLAUC IMPCTCode Does Not Require Authorization03/20/2026
03/18/20264175FVIS 20/40/> W/IN 90 DAYSCode Does Not Require Authorization03/20/2026
03/18/20264176FTALK RE UV LIGHT PT/CRGVRCode Does Not Require Authorization03/20/2026
03/18/20264177FTALK PT/CRGVR RE AREDS PREVCode Does Not Require Authorization03/20/2026
03/18/20264178FANTID GLBLN RCVD W/IN 26WKSCode Does Not Require Authorization03/20/2026
03/18/20264179FTAMOXIFEN/AI PRESCRIBEDCode Does Not Require Authorization03/20/2026
03/18/20264180FADJV THXPYRXD/RCVD COLON CACode Does Not Require Authorization03/20/2026
03/18/20264181FCONFORMAL RADN THXPY RCVDCode Does Not Require Authorization03/20/2026
03/18/20264182FNO CONFORMAL RADN THXPYCode Does Not Require Authorization03/20/2026
03/18/20264185FCONTINUOUS PPI OR H2RA RCVDCode Does Not Require Authorization03/20/2026
03/18/20264186FNO CONT PPI OR H2RA RCVDCode Does Not Require Authorization03/20/2026
03/18/20264187FANTI RHEUM DRUGTHXPYRXD/GVNCode Does Not Require Authorization03/20/2026
03/18/20264188FAPPROP ACE/ARB TSTNG DONECode Does Not Require Authorization03/20/2026
03/18/20264189FAPPROP DIGOXIN TSTNG DONECode Does Not Require Authorization03/20/2026
03/18/20264190FAPPROP DIURETIC TSTNG DONECode Does Not Require Authorization03/20/2026
03/18/20264191FAPPROP ANTICONVULS TSTNGCode Does Not Require Authorization03/20/2026
03/18/20264192FPT NOT RCVNG GLUCOCO THXPYCode Does Not Require Authorization03/20/2026
03/18/20264193FPT RCV <10MG DAILY PREDNISOCode Does Not Require Authorization03/20/2026
03/18/20264194FPT RCV =>10MG DAILY PREDNISOCode Does Not Require Authorization03/20/2026
03/18/20264195FPT RCVNG ANTI-RHEUM THXPY RACode Does Not Require Authorization03/20/2026
03/18/20264196FPTNOT RCVNG ANTI-RHM THXPYRACode Does Not Require Authorization03/20/2026
03/18/20264200FEXTERNAL BEAM TO PROST ONLYCode Does Not Require Authorization03/20/2026
03/18/20264201FEXTRNL BEAM OTHER THAN PROSTCode Does Not Require Authorization03/20/2026
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07/25/2025L8624Lith Ion Batt Cid Ear LevelEar, Nose, and ThroatNo Prior Authorization Required09/01/2025
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07/25/2025V5230HEARING AID BICROS GLASSESNo Prior Authorization Required09/01/2025
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05/20/202583036GLYCOSYLATED HEMOGLOBIN TESTNo Prior Authorization Required07/01/2025
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07/15/202495938SOMATOSENSORY TESTINGCode No Longer Requiring Prior Authorization08/01/2024
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