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Provider Notices

Pre authorization requirement update

7/29/2022 7:51:48 AM

Pre authorization requirement update

Effective August 29, 2022 pre authorization is required for codes 96116, 96121, 96132, 96133, 96136, 96137, and 96146

Please visit the authorization grid to view pre authorization requirements.

PacificSource Health Plans - Authorization Grid

Please reach out to your Provider Service Representative with any questions.