Are pediatric cardiologists required to obtain a prior authorization for the Horizon Cardiology Program?
While pediatric cardiologists do not require medical necessity reviews, all requests for the above CPT codes require an authorization number. To obtain an authorization number for the above CPT codes, the exams must be registered through CareCore National. The authorization number is required for claims processing and payment. The registration requests can be submitted by phone, fax or web as described above.
Related Questions
- If an enrollee or provider fails to obtain authorization prior to being seen in treatment, will CBHA backdate?
- Are pediatric cardiologists required to obtain a prior authorization for the Horizon Cardiology Program?
- What are the CPT codes that require prior authorization under the Horizon Cardiology Program?
