Insurance- Prior authorization
This articles shows the list of insurances we take and if prior authorization is required.
GROUP NPI: 1508211277 TAX ID: 81-2150353
INSURANCE |
AUTH |
HOLTER/EVENTS |
| HILL | NAR |
NAR |
| ALL SUTTER | NAR |
NAR |
| HEALTH NET | NAR |
NAR |
| TRICARE | SELECT: NO- PRIME: YES |
NAR |
| MEDICARE | NAR |
NAR |
| CALI HEALTH & WELLNESS | NAR |
NAR |
| CIGNA | NAR |
NAR |
| UMR | NAR |
NAR |
| NIVANO | AUTH |
YES -NEED CODES |
| PRIME COMM. | AUTH |
YES-NEED CODES |
| AETNA | NAR |
NAR |
| UNITED HEALTHCARE | YES |
NAR |
| STRAIGHTMEDICAL | NAR |
NAR |
| MEDI-CAL CCS | YES |
NEEDS APPROVED SAR |
| PARTNERSHIP | YES |
NEEDS APPROVED RAF |
| HEALTH PLAN OF SAN JOAQUIN | YES |
YES - NEEDS CODES |
| BLUE SHIELD | YES |
NAR |
| DIGNITY | YES |
YES - NEEDS CODES |
| BLUE CROSS | YES- CARELON AUTH |
NAR |
| GEHA | NAR |
NAR |
| RIVERCITY | YES |
YES - NEEDS CODES |
| IMPERIAL | YES |
YES- NEEDS CODES |
| SEQUOIA | YES |
YES -NEEDS CODES |
| WELL SPACE- NEXUS | YES |
YES -NEEDS CODES |
| CENTRAL CALIFORNIA ALLIANCE FOR HEALTH | YES |
YES -NEEDS CODES |
| CENTRAL CAIFORNIA PHYSICIAN PARTNERS | YES |
YES -NEEDS CODES |
NAR: No prior Authorization is required
Holter Codes: 99215,98015,93227,93225
Events Codes: 99215,98015,9327093272
FETAL CONSULT CODES: 99205,99215
FETAL DIAGNOSTIC CODES: 76825,76827,93325
INITIAL OFFICE VISITS: 99205,99245, 99215, 93303 X2, 93320 X2, 93303 X2,93000X2,93227,93225,93270,93271
GROUP NPI: 1508211277 TAX ID: 81-2150353
LAST UPDATED ON: 03/11/2025
DP