Prior Auth Required

63620 - Evolent, formerly New

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceEvolent, formerly New
Procedure / Service Description

Category Subcategory/notes Codes and comments - L8499, L8720, L8721 Radiation therapy 32701, 61796, 61798, Evolent, formerly New 63620, 77280, 77290, Century Health, will manage 77295, 77301, 77338, all preauthorization requests. 77371, 77372, 77373,

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.