Medical prior authorization

With our updated Provider Authorization Grid, you can search for a procedure by code
(CPT or HCPCS), or by name to learn whether prior authorization is required.

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• We maintain a separate list for medical drugs and diabetic supplies: Diabetic Supply List.
• Submit Advanced Diagnostic Imaging and Genetic Testing prior authorization requests to Carelon Medical Benefits Management by phone at 877-291-0510, or online at Carelon’s website. 
• Note that experimental or investigational procedures and surgeries are not covered.