Source inventory
QuickIntell consolidates source metadata at the payer and intent level. The underlying rules support this directory but do not become separate public pages or replace the controlling payer document.
- Structured rules
- 123
- Source documents
- 3
- Latest dated source
- January 1, 2026
Check formulary and pharmacy benefit details
Confirm which HAP formulary applies to the member's pharmacy benefit, plan year, state, and product. Drug tier, prior authorization, step therapy, quantity limits, and specialty-pharmacy requirements can differ between formularies.
Use real-time pharmacy benefit information when available and verify exceptions or appeals through the current payer or pharmacy-benefit channel.
Inventory coverage
This collection groups related source classifications to match a single search intent. Counts describe the current sanitized projection captured on August 8, 2026.
| Source classification | Rules | Documents |
|---|---|---|
| Utilization Management | 80 | 2 |
| Formulary | 43 | 1 |
Representative payer source documents
Use the payer source documents below as starting points. Confirm the member's plan, state, network, and date of service in the current payer portal before acting.
- 2026 Prior Authorization Criteria
Utilization Management · Effective January 1, 2026 · 72 supporting rules
- 2026 Dual Eligible Special Needs Plan List of Covered Drugs
Formulary · Effective January 1, 2026 · 43 supporting rules
- 2026 Step Therapy Criteria
Utilization Management · Effective January 1, 2026 · 8 supporting rules
Related payer policy directories
Related QuickIntell resources
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against HAP's current published documents before submission. CPT® is a registered trademark of the American Medical Association.