Prior Authorization · 2026

Prior authorization requirements by payer

Pick a payer to see exactly which CPT and HCPCS codes require prior authorization, the documentation needed, and a link to the carrier's own published policy. Every verdict is source-backed — pulled from payer clinical-policy PDFs, never guessed — and free to use.

Fully mapped payers

Complete source-backed prior-authorization datasets, refreshed regularly.

AetnaSource-backed PA list→CignaSource-backed PA list→HumanaSource-backed PA list→Blue Care NetworkSource-backed PA list→Blue Cross Blue Shield of MichiganSource-backed PA list→Blue Cross NCSource-backed PA list→HighmarkSource-backed PA list→UnitedHealthcareSource-backed PA list→

More payers

Coverage is expanding. Use the free lookup or Ask D3 for any of these today.

AnthemCoverage expanding→Blue Cross Blue ShieldCoverage expanding→CenteneCoverage expanding→MedicareCoverage expanding→Molina HealthcareCoverage expanding→TRICARECoverage expanding→AmbetterCoverage expanding→Kaiser PermanenteCoverage expanding→MedicaidCoverage expanding→WellCareCoverage expanding→

Need a specific code, fast?

Look up any CPT code against 15+ payers, or ask D3 to draft the prior-auth request and documentation checklist for you. Free, no signup.

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