Find out if prior authorization from Highmark Health Options is required for medical procedures and services. Enter a Current Procedural Terminology (CPT) code in the space below to get started.
The Provider Authorization List was last updated April 1, 2023. Recommendations contained in InterQual guidelines are not a guarantee of coverage. The contents of this list are subject to change in accordance with plan policies and procedures and the Provider Manual. Providers should consult applicable medical policies for information regarding covered benefits.
As a reminder, third-party prior authorizations for Highmark Health Options include CoverMyMeds, Davis Vision, eviCore, and United Concordia Dental.
We can help. Review the Prior Authorizations section of the Provider Manual. Call Provider Services at 1-855-401-8251 from 8 a.m. – 5 p.m., Monday through Friday. Or contact your Provider Account Liaison.