Prior Auth Required

97763 - Marketplace: Authorization required after benefit limit is reached, please refer to member handbook

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceMarketplace: Authorization required after benefit limit is reached, please refer to member handbook
Procedure / Service Description

Marketplace: Authorization required after benefit limit is reached, please refer to member handbook - Occupational Therapy Marketplace: Authorization required after benefit limit is reached, please refer to member handbook 97110 97112 97763 Out-Patient (OP) Hospital/Ambulatory Surgery Center (ASC) Procedures

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.