Prior Auth Required

2310A - submission: Loop Number

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicesubmission: Loop Number
Procedure / Service Description

Not required for SMV, personal care - submission, for paper submission either ZZ or blank is accepted. For electronic submission: Loop Number 2310A- BILLING PROVIDER NAME, Segment PRV, ElementPRV02 = PXC,

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.