Prior Auth Required

75031 - 8 CCR §3220; 22 CCR § , § , § ; 28 CCR §1300.67, §1300.80; American Academy of Family Practice (AAFP)  

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service8 CCR §3220; 22 CCR § , § , § ; 28 CCR §1300.67, §1300.80; American Academy of Family Practice (AAFP)  
Procedure / Service Description

D. Emergency health care services are available and accessible 24 hours a day, 7 days a week. - Site Access/Safety Survey Criteria (Continued) Yes No N/A wt D. Emergency health care services are available and accessible 24 hours a day, 7 days a week. 8 CCR §3220; 22 CCR §51056, §53216, §75031; 28 CCR §1300.67, §1300.80; American Academy of Family Practice (AAFP)   1. Personnel are trained in procedures/action plan to be carried out in case of medical emergency 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.