Prior authorization codes
Prominence Health Plan
Active CPT codes that appear on the extracted prior authorization list for this health plan.
| Code | Procedure / Service | Effective | Revised | Confidence | Source |
|---|---|---|---|---|---|
| 24320 | Web Support • Phone: 615.468.4000, ext | 2018-04-01 | Not listed | 97% | [PDF] eviCore healthcare Template |