Prior Auth Required

28890 - PR ESWT HI AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 5/10/2021

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServicePR ESWT HI AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 5/10/2021
Procedure / Service Description

PAYOR - 28890 PR ESWT HI AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 5/10/2021 NRG PHYS/QHP AND DOCUMENTS TO W/US GDN RENDERING PROVIDER: AUTH IS 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.