Prior Auth Required

2023F - PR DILATED AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 11/1/2021

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServicePR DILATED AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 11/1/2021
Procedure / Service Description

Effective Date - Effective Date 2023F PR DILATED AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 11/1/2021 RETINAL EXAM AND DOCUMENTS TO W/O EVIDENCE RENDERING PROVIDER: 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.