Billing Beat

Humana to Eliminate Prior Authorization (PA) Requirements on Some Outpatient CTs and MRIs

July 24, 2025

Humana has pledged to eliminate prior authorization for select outpatient CT and MRI exams, which is part of a broader effort to reduce administrative burden. By January 1, 2026, the insurer will drop roughly one-third of prior authorization requirements for outpatient services—including diagnostics like colonoscopies, echocardiograms, and select CT scans and MRIs. The plan also includes a 2026 launch of a national “gold card” program for trusted physicians and public reporting of authorization metrics to boost transparency

Source: https://press.humana.com/news/news-details/2025/Humana-Accelerates-Efforts-to-Eliminate-Prior-Authorization-Requirements-to-Ensure-a-Faster-More-Seamless-Process/#gsc.tab=0

Radiology Humana Prior Authorization

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