Prior Auth Required

01701 - PCA-2-19- -M&R-WEB_12032019

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServicePCA-2-19- -M&R-WEB_12032019
Procedure / Service Description

Jefferson, Larimer, Pueblo, Teller, Weld - PCA-2-19-01701-M&R-WEB_12032019 Connecticut: All counties in the state of Connecticut

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.