Prior Auth Required

56260 - 22 CCR § , §

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service22 CCR § , §
Procedure / Service Description

Office practice procedures allow timely provision and tracking of - 2. Physician Review and follow-up of referral/consultation reports and diagnostic test results. 2 F. Member Grievance/Complaint processes are established on site. 22 CCR §53858, §56260 1. Phone number(s) for filing grievances/complaints are located on site. 1 2. Complaint forms and a copy of the grievance procedure are available on site. 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.