Prior auth lookup

Is prior auth required?

Search a health plan and CPT code to check prior auth requirements.

141 health plans available from the payer connection table.
CPT suggestions use the existing GenHealth medical code search.
Check requirement

Health plan and CPT

Plan aliases

Health plan matching checks display names, stable IDs, aliases, and prior names.

Code search

CPT autocomplete can match exact codes, prefixes, and procedure descriptions.

Shareable URL

Each search lands on the concise health-plan and CPT result route.