Prior Auth Required

11695 - payer ID code is

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicepayer ID code is
Procedure / Service Description

Independent Care partners with SSI Claimsnet, a leading claims submission provider, - set-up or submission fees for your iCare claims through SSI Claimsnet. Providers who do not have an NPI, please enter 9999999999 in the *required field. iCare's EDI payer ID code is 11695 • Providers are strongly encouraged to take advantage of electronic claims submission, real-time error reporting and payer updates.

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.