Prior Auth Required

11534 - www.medicare.gov/Pubs/pdf/ -Medicare-Rights-and-Protections.pdf.)

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Servicewww.medicare.gov/Pubs/pdf/ -Medicare-Rights-and-Protections.pdf.)
Procedure / Service Description

• You can call Member Services. - o You can visit the Medicare website to read or download the publication “Medicare Rights & Protections.” (The publication is available at: www.medicare.gov/Pubs/pdf/11534-Medicare-Rights-and-Protections.pdf.) o Or, you can call 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week (TTY 1-877-486-2048).

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.