Prior Auth Required

54603 - La Crosse, WI

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceLa Crosse, WI
Procedure / Service Description

Appeals and Grievance - Team MS-21 3237 Airport Road La Crosse, WI 54603 • Fax: 877-666-6597 A grievance can be filed by completing the Grievance Form available

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.