Prior Auth Required

0012A - PR IMM ADMN NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK, 8/12/2021

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServicePR IMM ADMN NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK, 8/12/2021
Procedure / Service Description

EXCLUSIONS: FQHC, RHC - 0012A PR IMM ADMN NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK, 8/12/2021 SARSCOV2 100 AND DOCUMENTS TO CP MCG/0.5 ML 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.