Prior Auth Required

75038 - Irving TX -9984

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceIrving TX -9984
Procedure / Service Description

The letter must be sent to the following address - Ste 100 5615 Highpoint Dr Irving TX 75038-9984 Request from an Attorney, Insurance Company, or Power of Attorney

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.