Prior Auth Required

13287 - Doc#: PCA-1- -12112018_01102019

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceDoc#: PCA-1- -12112018_01102019
Procedure / Service Description

This document is provided for informational purposes only and is not intended to replace any provisions or requirements - This document is provided for informational purposes only and is not intended to replace any provisions or requirements contained in your participation agreement(s) with UnitedHealthcare or its affiliates. Doc#: PCA-1-13287-12112018_01102019 © 2019 United HealthCare Services, Inc.

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.