Prior Auth Required

00501 - LP (HMO SNP) /0

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceLP (HMO SNP) /0
Procedure / Service Description

Waupaca and Winnebago - UnitedHealthcare 52100/52104 Brown, Calumet, Dane, Green Lake, HMO SNP H5253-024 Dual Complete® Kewaunee, La Crosse, Manitowoc, H3794-002 LP (HMO SNP) 00501/0 0502 Marinette, Milwaukee, Monroe, Oconto, Outagamie, Ozaukee, Portage, Racine,

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.