Prior Auth Required

90957 - Home Health ESRD SERVICES, PER MONTH, 12-19 YR OLD, 4+ VISITS

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceHome Health ESRD SERVICES, PER MONTH, 12-19 YR OLD, 4+ VISITS
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 95 - Home Health 90956 ESRD SERVICES, PER MONTH, 2-11 YR OLD, 1 VISIT Home Health 90957 ESRD SERVICES, PER MONTH, 12-19 YR OLD, 4+ VISITS Home Health 90959 ESRD SERVICES, PER MONTH, 12-19 YR OLD, 1 VISIT

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.