Prior Auth Required

75026 - Plano, TX -9002

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServicePlano, TX -9002
Procedure / Service Description

Send claims to - (RA) or explanation of benefits (EOB). CHPW Claims, • Corrected Claims: must be received within 24 months of DOS. PO Box 269002 Plano, TX 75026-9002 Note: When CHPW is the secondary payer, CHPW follows the primary payors denial/processing policies.

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.