Prior Auth Required

55880 - or by calling Evolent at

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Serviceor by calling Evolent at
Procedure / Service Description

Expedited/urgent cases can be - 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 Surgical Services. You can

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.