Prevea360 Medical Management

We pride ourselves on our close partnership with you, our providers. We know that caring for your patients is your top priority and so we designed this page to provide easy access to our medical policies and prior authorization requirements. Medical policies are reviewed annually by our Medical Director Committee and all changes and updates will be posted here on a quarterly basis.

Most Used Authorization & Coverage Documents

Prevea360 Advantage Medical Management
Medical Prior Authorization List - current procedures and services that include the most common CPT codes that require a prior authorization.
Non-covered Services
Non-covered Durable Medical Equipment/Supplies

Prevea360 Health Plan Medical Policies

Medical policy updates are available in each edition of the Provider News. 

View Provider News Now