Prior Auth Required

59612 - PR VAG DELIV AUTHORIZATION REQUIRED INTERQUAL CLINICAL INFORMATION C, S, 5/10/2021

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServicePR VAG DELIV AUTHORIZATION REQUIRED INTERQUAL CLINICAL INFORMATION C, S, 5/10/2021
Procedure / Service Description

SEC FOR UP TO 4 DAYS. S/DEFAULT.ASPX NECESSITY - 59612 PR VAG DELIV AUTHORIZATION REQUIRED INTERQUAL CLINICAL INFORMATION C, S, 5/10/2021 ONLY,PREV C- AND DOCUMENTS TO SK,CP SECTN LIMITS: AUTH IS REQUIRED IF 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.