Prior Auth Required

01159 - Coverage Discrepancy Report (F- (09/12)) form. Unless the service does not require other health insurance billing, the

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceCoverage Discrepancy Report (F- (09/12)) form. Unless the service does not require other health insurance billing, the
Procedure / Service Description

Wisconsin Medicaid - Coverage Discrepancy Report (F-01159 (09/12)) form. Unless the service does not require other health insurance billing, the provider should allow at least two weeks before proceeding to Step 2. Step 2. Determine if the Service Requires Other Health Insurance Billing

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.