Prior Auth Required

53861 - guidelines. 22 CCR § , § , § ; §28 CCR §1300.80; CA Civil Code §56.10

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Serviceguidelines. 22 CCR § , § , § ; §28 CCR §1300.80; CA Civil Code §56.10
Procedure / Service Description

Office practice procedures allow timely provision and tracking of - D. Confidentiality of personal medical information is protected according to State and federal guidelines. 22 CCR §51009, §53861, §75055; §28 CCR §1300.80; CA Civil Code §56.10 (Confidentiality of Medical Information Act)   1)_____ 1)_____ 1)_____ 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.