Prior Auth Required

15277 - PR SUB GRFT NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 12/1/2023

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServicePR SUB GRFT NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 12/1/2023
Procedure / Service Description

ADL 25SCM NECESSITY - /<100SCM EA SUPPORT MEDICAL ADL 25SCM NECESSITY 15277 PR SUB GRFT NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 12/1/2023 F/S/N/H/F/G/M/D AND DOCUMENTS TO />100SCM 1ST 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.