Prior Auth Required
64475 - PR 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 AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 5/10/2021
Procedure / Service Description
LEVELS SECONDARY PAYOR - 64475 PR AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 5/10/2021 INJ,PARAVERT AND DOCUMENTS TO EBRAL L/S,1 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.