Prior Auth Required
72100 - PR X-RAY NO AUTHORIZATION REQUIRED MD GUIDELINE 1 (Mobile X Ray CLINICAL INFORMATION C, S, SK CP 2/1/2024
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServicePR X-RAY NO AUTHORIZATION REQUIRED MD GUIDELINE 1 (Mobile X Ray CLINICAL INFORMATION C, S, SK CP 2/1/2024
Procedure / Service Description
Effective Date - Effective Date 72100 PR X-RAY NO AUTHORIZATION REQUIRED MD GUIDELINE 1 (Mobile X Ray CLINICAL INFORMATION C, S, SK CP 2/1/2024 LUMBAR SPINE Guideline): AND DOCUMENTS TO 2/3 VW EXCLUSIONS: MOBILE https://driscollhealthplan.com/prior 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.