Prior Auth Required

0174A - IMM ADMN NO AUTHORIZATION REQUIRED CLINICAL INFORMATION S, SK, C, 1/1/2024

This procedure appears on the selected insurer prior authorization source.

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

ADD; DOSE - YEARS OF AGE ADD; DOSE 0174A IMM ADMN NO AUTHORIZATION REQUIRED CLINICAL INFORMATION S, SK, C, 1/1/2024 SARSCOV2 AND DOCUMENTS TO CP BIVALENT 3 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.