Prior Auth Required

2000A - 837P (Professional) Loop ; Segment PRV Must follow this format: PRV*BI*

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service837P (Professional) Loop ; Segment PRV Must follow this format: PRV*BI*
Procedure / Service Description

Form Taxonomy Location Notes - a taxonomy Form Taxonomy Location Notes 837P (Professional) Loop 2000A; Segment PRV Must follow this format: PRV*BI* PXC* [taxonomy code] 837I (Institutional) Loop 2000A; Segment PRV Must follow this format: PRV*BI*

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.