Posted in #reimbursement, HealthFirst, NY Providers, Prior Authorization Insurance Carrier Updates

Healthfirst removes some procedures off the prior auth list (2026)

Posted on by KR2Medical Billing

For any DOS on Jan 1, 2026 and there after, Healthfirst will remove prior auth requirenment from the EviCore prior auth list.

Image via Healthfirst website

Please remember that member benefits (coverage vs non coverage) still applies.

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My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC), AAPV Approved Instructor; and an owner of KR2 Medical Billing. I create educational material including blogs, presentations that focus on topics of medical billing, medical coding and reimbursement in healthcare.

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