Prior Auth Required

55867 - on Evolent’s website

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Serviceon Evolent’s website
Procedure / Service Description

Expedited/urgent cases can be - all preauthorization requests. 55840, 55842, 55845, Requests can be submitted 55866, 55868, 55869, on Evolent’s website 55867, 55868, 55869, or by calling Evolent at 55880 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.