Require Precertification
Found 3 free book(s)Services that require precertification* or authorization ...
www.aetna.com**Precertification requirements apply unless state law expressly dictates otherwise. As of January 1, 2019, the following services no longer require precertification or authorization: intensive outpatient, outpatient detoxification (ambulatory withdrawal management) and psychological or neuropsychological testing.
Preventive Care Services - Cigna
www.cigna.com(MAY require precertification or other reasonable medical management technique or practice depending on benefit plan design) Breast Cancer Screening: women age 40 and older, with or without clinical breast exam, every 1-2 years Note: ACA utilizes the 2002 USPSTF recommendations on breast cancer screening. 77065, 77066
A how-to guide for health care professionals who work with us
www.aetna.comPrecertification Code Search tool — allows you to enter up to five CPT codes at a time to quickly determine whether a medical precertification is required for your patient. Online precertification transaction — allows you to add a precertification request for those services that require it and see if a precertification has