Prior Auth Required

11040 - "Other Services") (07/12))

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Service"Other Services") (07/12))
Procedure / Service Description

ForwardHealth - (HealthCheck Day Treatment Attachment, F- ForwardHealth "Other Services") 11040 (07/12)) (initial request only)

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.