Prior Auth Required

91203 - Glendale, CA 205 2ND Floor CA 150

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceGlendale, CA 205 2ND Floor CA 150
Procedure / Service Description

700 N. Central Ave, 1245 Wilshire Blvd 500 South Virgil Advanced Imaging Center - 700 N. Central Ave, 1245 Wilshire Blvd 500 South Virgil Advanced Imaging Center #100 Suite Ave. Los Angeles, 3055 Wilshire Blvd. Ste. Glendale, CA 91203 205 2ND Floor CA 90017 150 Tel: 818-480-7234 Los Angeles, CA 90017 Tel: 323-375-3945 Los Angeles, CA 90010 Tel: 213-867-3270 Tel. 213-487-4077

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.