Transcription of Pre-Authorization Form Instructional Letter
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Pre-Authorization Form Instructional Letter
Pre-Authorization form Instructional Letter Neuromodulation Fax completed form to 1-877-835-2520. Dear Valued Boston Scientific Customer, Please use the attached Pre-Authorization form for submissions of Precision Plus Spinal Cord Stimulator (SCS). Pre-Authorization requests. The Pre-Authorization form provides you with an easy check-the-box format to help facilitate a quick and easy process. This form will provide us important patient and procedure information including diagnosis and procedure codes for SCS trial and permanent Pre-Authorization requests. The diagnosis code list is not an exhaustive list, but is a list of codes that relate to the indication statement below for the Precision SCS System.
reimbursement specialists and/or legal counsel regarding coding, Pre-Authorization Form Instructional Letter Neuromodulation Health economic and reimbursement information provided by Boston Scientific Corporation is gathered from third-party sources and is subject to change without notice as a result of
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