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Prior Authorization Requirements Tracker

PA requirements by payer and procedure category — covering UHC, Aetna, BCBS, Cigna, Humana, and their Medicare Advantage plans. Updated monthly as policies change.

Last updated: February 2026 · Download CSV 🔒 · Report an error

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Procedures Tracked
6
Payers Covered
Feb 2026
Data Current As Of
YES PA always required MA Medicare Advantage only COND Conditional / site-specific NO No PA required VARIES Plan-level variation
Procedure / Service Category UHC / Optum Aetna BCBS (National) Cigna Humana Centene / WellCare Notes
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Playbooks and tools built for RCM teams — new resource added every month.

  • Prior Auth Requirements Tracker (50+ procedures × 6 payers)
  • Denial Reason Code Playbook (60+ codes, appeal strategies)
  • Payor-specific denial patterns & appeal timelines
  • New resource added every month

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⚠️ This tracker is for informational purposes only. PA requirements vary by plan type (commercial, Medicare Advantage, Medicaid), state, and effective date. Always verify current requirements directly with the payer portal or provider relations before submission. RevCycleAI updates this tracker monthly but cannot guarantee accuracy for all plan variations. Last verified: February 2026.