Prior Auth Required

78720 - Austin, TX -4077

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceAustin, TX -4077
Procedure / Service Description

Claims Administrator Contract Management - Mail Code-91X P.O. Box 204077 Austin, TX 78720-4077 • Texas Department of Insurance HMO Quality Assurance Section

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.