Prior Auth Required

56500 - 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

Site Office Management Survey Criteria Yes No N/A wt - Site Office Management Survey Criteria Yes No N/A wt A. Physician coverage is available 24 hours a day, 7 days a week. 22 CCR §56500, §53855 The following are maintained current on site: 1. Clinic office hours are posted or readily available upon request. 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.