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All PlansPrior AuthMedium impact

Updated Preauthorization Lists

EmblemHealth·Prior Authorization
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

EmblemHealth has updated their Pharmacy Preauthorization List (JP71704) effective April 2026. The billing team needs to review the revision history to identify which pharmacy items now require or no longer require prior authorization.

Action Required

Action needed
Before April 2026: Billing team must access the EmblemHealth provider portal to review the updated Pharmacy Preauthorization List JP71704 revision history. Update billing system rules for any pharmacy items that now require prior authorization. Train staff on new preauthorization requirements to prevent claim denials.

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