Prior Auth Required

61104 - https://www.mendocinocounty.org/home/showpublisheddocument/ /638338395

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicehttps://www.mendocinocounty.org/home/showpublisheddocument/ /638338395
Procedure / Service Description

11. Colusa County Health and Human Services, Public Health Division. (2024). Colusa - 12. Coren, A., and Miller, J. (April 2023). 2023 Mendocino County Community Health Improvement Plan”. Mendocino County Public Health Department. Retrieved from https://www.mendocinocounty.org/home/showpublisheddocument/61104/638338395 370100000 13. County Health Rankings and Roadmaps. (2025). About Us. Retrieved from

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.