Prior Auth Required

36373 - Prairie States Enterprises Prairie States 800-615-7020 www.prairieontheweb.com

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServicePrairie States Enterprises Prairie States 800-615-7020 www.prairieontheweb.com
Procedure / Service Description

Claims Address Payer/TPA Website - Prairie States Enterprises 36373 Prairie States 800-615-7020 www.prairieontheweb.com P.O. Box 23 Sheboygan, WI 53082

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.