For any DOS on Jan 1, 2026 and there after, Healthfirst will remove prior auth requirenment from the EviCore prior auth list.
Please remember that member benefits (coverage vs non coverage) still applies.
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- Healthfirst removes some procedures off the prior auth list (2026)
- Emblem Health to add more DME codes to prior auth list.
- UHC to remove prior auth for some radiology and cardiology tests.
- Anthem BCBS NY: New PET tracer UM policy
- PrEP proper billing and coding
KR2 Medical Billing 