2023 Commercial Outpatient Benefit Prior Authorization ASO Medical Surgical Procedure Code List
Governs prior authorization requirements and code-level routing for commercial outpatient procedures for BCBSNM (including ASO members); indicates which service categories require prior authorization and where requests are managed (BCBSNM vs Carelon). Affects providers submitting prior authorization for covered members.
No material clinical or coverage changes in this revision.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.