Prior Auth Required

53716 - or enddated the other health Madison WI -0220

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Serviceor enddated the other health Madison WI -0220
Procedure / Service Description

Scenario Documentation Requirement Submission Address - through the EVS that ● Indication that the EVS no longer reports the member's other Provider-Based Billing ForwardHealth has removed coverage. PO Box 6220 or enddated the other health Madison WI 53716-0220 insurance coverage from the Fax (608) 221-4567 member's file.

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.