Prior Auth Required

01160 - ) to be submitted with the claim; which is available on the Forward Health

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service) to be submitted with the claim; which is available on the Forward Health
Procedure / Service Description

Notification Requirements The requirement for notification is the responsibility of the participating - Hysterectomy: Requires the Acknowledgment of Receipt of Hysterectomy information form (F- 01160) to be submitted with the claim; which is available on the Forward Health Portal.

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.