Prevea360 Medical Management

doctor in the waiting room of a clinic

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

filling out forms

Prevea360 Medicare Advantage Medical Management

Master Service List (MSL)​ - current procedures and services that include the most common CPT codes that require a prior authorization.

Non-covered Medical Procedures & Services

Non-covered Durable Medical Equipment/Supplies

green icon of a checklist  Prevea360 Health Plan medical policies

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

View Provider News Now


Green icon of a graph on a clipboard  Prior authorization forms