Prior Auth Required

13072 - Claim (F- (07/12))

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceClaim (F- (07/12))
Procedure / Service Description

Wisconsin Medicaid - The data alignment requirements do not apply to the Compound Drug Claim (F-13073 (07/12)) and the Noncompound Drug Claim (F-13072 (07/12)). Speed and Accuracy of Claims Processing

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.