Prior Auth Required

10837 - Topic #

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceTopic #
Procedure / Service Description

Claims for services that are covered in a member's state-contracted MCO (managed care organization) should be submitted to - that MCO. Topic #10837

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.