Prior Auth Required

53222 - required to comply with 22 CCR sections , , and with regard to the

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicerequired to comply with 22 CCR sections , , and with regard to the
Procedure / Service Description

CenCal Health, its providers, subcontractors, and downstream subcontractors are - Prohibited Claims CenCal Health, its providers, subcontractors, and downstream subcontractors are required to comply with 22 CCR sections 53866, 53220, and 53222 with regard to the submission and recovery of claims for Medi-Cal covered services.

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.