Transcription of Spinal Surgery Precertification Information …
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Spinal Surgery Precertification Information …
PCFX Spinal Surgery Precertification Information Request FormApplies to:Aetna plans Innovation Health plansHealth benefits and health insurance plans offered, underwritten and/or administered by the following: Allina Health and Aetna Health Insurance Company (Allina Health | Aetna) Banner Health and Aetna Health Insurance Company and/or Banner Health and Aetna Health Plan Inc. (Banner|Aetna) Sutter Health and Aetna Administrative Services LLC (Sutter Health | Aetna) Texas Health + Aetna Health Plan Inc. and Texas Health + Aetna Health Insurance Company (Texas Health Aetna) Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company and its affiliates (Aetna).
Spinal Surgery Precertification Information Request Form . Section 3: Provide the following information for all cervical, thoracic or lumbar requests
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