Prior Auth Required
0950T - on Evolent's website, or you
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / Serviceon Evolent's website, or you
Procedure / Service Description
Category Subcategory/notes Codes and comments - all preauthorization requests. 53854, 55873, 55881, Requests can be submitted 55882, 55877, 0582T, on Evolent's website, or you 0600T, 0601T, 0950T can call Evolent at 844-926-4528, option 5, for
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.