Prior Auth Required

63681 - #6: 1. Case

This procedure appears on the selected insurer prior authorization source.

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Procedure / Service#6: 1. Case
Procedure / Service Description

Agenda Item Case Spotlight - programs. Agenda Item Case Spotlight #6: 1. Case 63681 Investigation Issue The member’s AR (mother) requested additional hours (total of 22 hours per day)

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.