Prior Auth Required

14137 - Topic #

This procedure appears on the selected insurer prior authorization source.

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

Individual practitioners within group practices are required to be Medicaid-enrolled because these groups are required to identify - rendering provider are denied. Topic #14137

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.