Prior Auth Required

51301 - Section . Services to be rendered are subject to exclusions, limitations, exceptions

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceSection . Services to be rendered are subject to exclusions, limitations, exceptions
Procedure / Service Description

services should be provided in accordance with regulations as set forth in 22 CCR - by a member's responsible physician or other qualified health practitioner and said services should be provided in accordance with regulations as set forth in 22 CCR Section 51301. Services to be rendered are subject to exclusions, limitations, exceptions, and conditions as agreed to by the Hospital and CenCal Health. CenCal Health members must receive the same quality of care and access to services as all other

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.