Prior Auth Required

90963 - Home Health ESRD SERVICES, HOME DIALYSIS, PER MONTH, < 2 YR OLD

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceHome Health ESRD SERVICES, HOME DIALYSIS, PER MONTH, < 2 YR OLD
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 95 - Home Health 90962 ESRD SERVICES, PER MONTH, 20+ YR OLD, 1 VISIT Home Health 90963 ESRD SERVICES, HOME DIALYSIS, PER MONTH, < 2 YR OLD Home Health 90964 ESRD SERVICES, HOME DIALYSIS, PER MONTH, 2-11 YR OLD

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.