Prior Auth Required

11537 - Topic #

This procedure appears on the selected insurer prior authorization source.

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

Wisconsin Medicaid - Note: Claims processing sections for dental and drug claims do not include the MRN or the PCN. Topic #11537

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.