Prior Auth Required

12402 - • Submit a reconsideration request. Kingston, NY -5280

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service• Submit a reconsideration request. Kingston, NY -5280
Procedure / Service Description

Wisconsin - • Update facility/practice data. P.O. Box 5280 • Submit a reconsideration request. Kingston, NY 12402-5280 Representatives are available weekdays, 8 a.m. – 6 p.m. (except major holidays). Appeals Submission

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.