Prior Auth Required

47620 - PR REMV GB,W AUTHORIZATION REQUIRED INTERQUAL 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 REMV GB,W AUTHORIZATION REQUIRED INTERQUAL CLINICAL INFORMATION C, S, SK CP 5/10/2021
Procedure / Service Description

Effective Date - Effective Date 47620 PR REMV GB,W AUTHORIZATION REQUIRED INTERQUAL CLINICAL INFORMATION C, S, SK CP 5/10/2021 TRANSDUOD AND DOCUMENTS TO SPHINCTEROT EXCLUSIONS: AUTH REQUIRED DRISCOLL HEALTH PLAN 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.