Prior Auth Required

53705 - Madison, WI

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceMadison, WI
Procedure / Service Description

Medica Central Health Plan - Mailing ATTN: Utilization Management Address P.O. Box 56099 Madison, WI 53705 NOTE: Any prior authorization submitted as ‘Medically Urgent’ that does not meet the definition of medically urgent may be changed to non-

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.