• New Pre-Authorizations Codes

  • Affinity Health Plan has updated its pre-authorization requirements in response to feedback and concerns from our providers. Some codes have been eliminated (related to allergy diagnosis); others added. Providers should review the newest list, effective January 1, 2020, at https://www.affinityplan.org/Providers/Resources/Pre-Authorization-Codes/Pre-Authorization-Codes/ or on the provider portal home page under Important Updates.

    Authorization requirements for Beacon, eviCore, Superior Vision and Dentaquest delegates still go to the respective providers. Pharmacy authorization codes can be found at Affinity’s provider portal. Prior authorization is required for all scheduled inpatient admissions, for using a non-participating provider and for durable medical equipment billed for more than $500.