Prior Auth Required

14124 - 29 WIC .1

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service29 WIC .1
Procedure / Service Description

28 45 CFR 164.524 - 28 45 CFR 164.524 29 WIC 14124.1

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.