Do outpatient procedures require precertification?
No pre-notification is required on outpatient procedures including diagnostic x-ray and laboratory procedures. For example, an MRI or CAT Scan. The services are covered based on medical necessity. EXCEPTIONS: If an outpatient stay/observation is beyond 24 hours OR an outpatient procedure becomes an inpatient admission. Please call 1-800-919-3311 to do an inpatient admission notification.
