Prior Auth Required

13393 - Data Interchange) Helpdesk or submit a paper (Trading Partner 835 Designation, F- (07/12)) form

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceData Interchange) Helpdesk or submit a paper (Trading Partner 835 Designation, F- (07/12)) form
Procedure / Service Description

Care Claim Payment/Advice Transactions - Providers who are unable to use the Portal to designate a trading partner to receive 835 transactions may call the EDI (Electronic Data Interchange) Helpdesk or submit a paper (Trading Partner 835 Designation, F-13393 (07/12)) form. Topic #5087

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.