Prior Auth Required

0574T - authorization request)

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Serviceauthorization request)
Procedure / Service Description

Category Subcategory/notes Codes and comments - information 0411T, 0412T, 0413T, 0414T, • Portal login (prior 0415T, 0416T, 0417T, 0418T, authorization request) 0571T, 0572T, 0573T, 0574T, • Phone: 833-283-0033, 0580T, 0614T, 0795T, 0796T, Monday – Friday,

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.