Prior Auth Required

20210 - Avenue N.W., Washington, D.C. . You may also obtain certain publications about your

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceAvenue N.W., Washington, D.C. . You may also obtain certain publications about your
Procedure / Service Description

listed in your telephone directory or the Division of Technical Assistance and Inquiries, - listed in your telephone directory or the Division of Technical Assistance and Inquiries, Employee Benefits Security Administration, U.S. Department of Labor, 200 Constitution Avenue N.W., Washington, D.C. 20210. You may also obtain certain publications about your rights and responsibilities under ERISA by calling the publications hotline of the Employee Benefits Security Administration.

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.