Maintenance Notification:
Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20.
We apologize for any inconvenience.
Maintenance Notification:
Blue Access for Members and quoting tools will be unavailable from 2am - 5am Saturday, October 20.
We apologize for any inconvenience.
Preauthorization Lists
The services or drugs on these lists may require preauthorization by us, eviCore Healthcare® or AIM Specialty Health® (AIM). These lists are not exhaustive and are not necessarily covered under the member benefits contract. Lists are updated quarterly to comply with AMA and CMS guidelines.
Consult Availity® 
or your preferred vendor for eligibility and benefits, the member/participant benefit booklet or contact a customer service representative to determine coverage for a specific medical service.
Digital Lookup Tool (For Fully Insured Only)
Review categories below to find out if a member’s procedure may require prior authorization.
2022 Fully Insured Plans
Commercial Procedure Code Look Up 2022 - Updated 02/2022 
(Excel Document)
Current Preauthorization Requirements (Commercial) Effective 1/1/2022 
(PDF Document)
2022 Commercial Medical Surgical Preauthorization Code List - Updated 1/1/2022 (PDF Document)
2022 Specialty Drugs and Infusion Site of Care Preauthorization Code List - Updated 1/1/2022 (PDF Document)
2022 Behavioral Health Preauthorization Code List - Updated 1/1/2022 (PDF Document)
2021 Fully Insured Plans
Current Preauthorization Requirements (Commercial) Effective 1/1/2021 (PDF Document)
2021 Commercial Medical Surgical Preauthorization Code List - Updated 11/1/2021 (PDF Document)
2021 Specialty Drugs and Infusion Site of Care Preauthorization Code List - Updated 7/1/2021 (PDF Document)
2021 Behavioral Health Preauthorization Code List - Updated 3/1/2021 (PDF Document)
Note: Changes reflect updates based on American Medical Association (AMA) code changes to add, revise or remove codes.