Prior Auth Required

77424 - 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

Category Subcategory/notes Codes and comments - all preauthorization requests. 77371, 77372, 77373, Requests can be submitted 77402, 77407, 77412, on Evolent’s website 77423, 77424, 77425, or by calling Evolent at 77436, 77437, 77438, 844-926-4528, option 5, for 77439, 77520, 77522,

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.