Prior Auth Required

95741 - Rancho Cordova, CA -0730

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceRancho Cordova, CA -0730
Procedure / Service Description

Medi-Cal Rx Customer Service Center - ATTN: Provider PA Requests P.O. Box 730 Rancho Cordova, CA 95741-0730 • NCPDP P4 – Request Only

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.