687 code entries across 4 active Health Partners Plans / Jefferson Health Plans policies that Backwork has recorded as requiring prior authorization. Each policy links to its page and to the payer’s source.
Summary of the payer’s published policy. Not a coverage determination — confirm with Health Partners Plans / Jefferson Health Plans before submitting.
| Policy | Effective | Codes requiring prior authorization |
|---|---|---|
| Health Partners Plans Cardiology, Radiology, and Ultrasound Code List | Jul 1, 2025 | |
| Health Partners Plans Radiation Therapy Code List | Jan 1, 2025 | |
| Health Partners Plans Spine Surgery Code List | Jan 1, 2025 | |
| Q4 - 2026 JHP MedOnc Master Drug List.pdf | Not recorded |