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Updated Preauthorization Lists: October 2025 Quarterly Code Updates

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

Summary

EmblemHealth and ConnectiCare will temporarily hold claims containing new CPT/HCPCS codes while configuring quarterly code updates from AMA and CMS. Claims will be partially processed for existing codes, then reprocessed once new codes are loaded within 60 days.

Action Required

Action needed
Immediately: Monitor claims submissions to EmblemHealth and ConnectiCare for partial payments when using newly released CPT/HCPCS codes. Billing team should track claims with new codes and follow up for reprocessing once codes are configured. Check preauthorization lists at provided URL for current requirements.

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