Do all TTE requests require a medical necessity determination?
No, medical necessity determinations for TTE are not required for any member that has no prior TTE on record at CareCore National. At the time of TTE registration, if no prior TTE is on record at CareCore National, an authorization number will be provided immediately after member demographic information, CPT code, and ICD-9 codes are provided.
Related Questions
- For those employees who have very physical jobs, can we automatically require a medical assesment before agreeing to requests to work beyond retirement age?
- What percentage of TTE requests will be approved by the registration only process and what percentage require medical necessity review?
- Do all TTE requests require a medical necessity determination?