Prior Auth Required

99026 - Hospital mandated on call service; in- Non-covered Service Benefit Exception Considered non-covered unless

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceHospital mandated on call service; in- Non-covered Service Benefit Exception Considered non-covered unless
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - submit online review at www.evicore.com. 99026 Hospital mandated on call service; in- Non-covered Service Benefit Exception Considered non-covered unless hospital, each hour member's contract indicates coverage. 99027 Hospital mandated on call service; out-of- Non-covered Service Benefit Exception Considered non-covered unless

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.