Prior Auth Required

0002A - PR IMM ADMN NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK, 1/1/2024

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServicePR IMM ADMN NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK, 1/1/2024
Procedure / Service Description

EXCLUSIONS: FQHC, RHC - 0002A PR IMM ADMN NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK, 1/1/2024 SARSCOV2 AND DOCUMENTS TO CP 30MCG/0.3ML AGE: NO AUTH IS REQUIRED FOR SUPPORT MEDICAL

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.