Prior Auth Required

52104 - UnitedHealthcare / Brown, Calumet, Dane, Green Lake, HMO SNP -024

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceUnitedHealthcare / Brown, Calumet, Dane, Green Lake, HMO SNP -024
Procedure / Service Description

Waupaca and Winnebago - Waupaca and Winnebago UnitedHealthcare 52100/52104 Brown, Calumet, Dane, Green Lake, HMO SNP H5253-024 Dual Complete® Kewaunee, La Crosse, Manitowoc, H3794-002 LP (HMO SNP) 00501/0

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.