Prior Auth Required

23473 - PR REVIS AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 6/1/2022

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServicePR REVIS AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 6/1/2022
Procedure / Service Description

Effective Date - Effective Date 23473 PR REVIS AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 6/1/2022 SHOULDER AND DOCUMENTS TO ARTHRPLSTY EXCLUSIONS: AUTH REQUIRED HTTP://WWW.TMHP.COM/PAGE 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.