Prior Auth Required

12778 - Topic #

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceTopic #
Procedure / Service Description

● Services provided inconsistent with an intermediate sanction or sanctions imposed by the DHS. - Topic #12778

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.