536 code entries across 6 active The Health Plan 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 The Health Plan before submitting.
| Policy | Effective | Codes requiring prior authorization |
|---|---|---|
| The Health Plan Cardiology & Radiology Code List - Effective 01/01/2026 | Jan 1, 2026 | |
| The Health Plan MSK Chiro Code List - Effective 01/01/2026 | Jan 1, 2026 | |
| The Health Plan MSK Joint Code List - Effective 01/01/2026 | Jan 1, 2026 | |
| The Health Plan MSK PTOT Code List - Effective 01/01/2026 | Jan 1, 2026 | |
| The Health Plan Sleep CPT Code List - Effective 01/01/2026 | Jan 1, 2026 | |
| The Health Plan Spine Surgery Code List - Effective 01/01/2026 | Jan 1, 2026 |