CMS Prior Authorization Reporting
To comply with the Centers for Medicare & Medicaid Services (CMS) Interoperability and Prior Authorization final rule, we are publicly reporting certain prior authorization metrics from the previous calendar year on our website.
Medical Services/Procedures and Drugs Requiring Prior Authorization
Medicare Advantage Reporting
View the prior authorization metrics for our Medicare Advantage members.
Qualified Health Plan Reporting
View the prior authorization metrics for our Qualified Health Plan members.