Pre-authorization requirements are published on two Medical Pre-authorization Lists, a Commercial list and a Medicare list. Both Medical Pre-authorization Lists are revised annually in January. Pre-authorization pertains to medical necessity only and does not guarantee payment. Only listed services and supplies require pre-authorization. Pre-authorization is not complete until the member's benefits and eligibility are verified by Customer Service.

Not all supplies and services listed on the Medical Pre-authorization Lists are covered by all member contracts.

Visit the Provider Web Site at www.or.regence.com/provider to view the current Medical Pre-authorization Lists.