CommercialPrior AuthMedium impact
Preauthorization Updates
EmblemHealth·Prior Authorization
Effective date
Oct 1, 2025
We identified it
Jun 20, 2026
Summary
EmblemHealth is updating their preauthorization list with code changes effective in October 2025. The policy references notable changes but requires accessing the full document for specific affected procedures and codes.
Action Required
By October 1, 2025: Billing team must review the full EmblemHealth preauthorization list at the provided URL to identify specific code changes. Update billing system authorization requirements based on the notable changes listed in document JP 70392. Monitor for claim denials if prior authorization requirements are not met for newly added codes.