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Prior Authorization List - Anthem Inc.
Prior Authorization List DISCLAIMER: This list represents our standard codes for pre-service review requirements. Please note that a request may require a letter of intent and photo. Please call (800) 274-7767 or (866) 470-6244 to verify the specific requirements of the patient’s plan as requirements may vary.

[PDF File]Billing and Coding Guidelines for Wound Care
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Billing and Coding Guidelines for Wound Care LCD ID L34587 Billing Guidelines Wound Care (CPT Codes 97597, 97598 and 11042-11047) 1. Active wound care procedures are performed to remove devitalized and/or necrotic tissue to promote healing. Debridement is the removal of foreign material and/or devitalized or

[PDF File]APPLICANT INFORMATION (person with disability)
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MED 10 (09/25/2019) Reason this patient's ability to walk is limited or impaired or creates a safety condition while walking. (check below) Is restricted by lung disease to such an extent that forced

[PDF File]9 Surgical Site Infection (SSI) Event
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Surgical Site Infection (SSI) Event Introduction: In 2014, a total of 14.2 millon operative procedures were performed in the inpatient setting in United States hospitals 1. The CDC healthcare-associated infection (HAI) prevalence survey found that there were an estimated 157,500 surgical site infections (SSIs) associated with inpatient ...

[DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy
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periods of leave i certify that i have sufficient funds to cover the cost of round trip travel. I UNDERSTAND THAT SHOULD ANY PORTION OF THIS LEAVE, IF APPROVED, RESULT IN MY TAKING MORE LEAVE THAN I CAN EARN ON MY CURRENT UN-EXTENDED ENLISTMENT OR CURRENT ACTIVE DUTY OBLIGATION, MY PAY WILL BE CHECKED FOR SUCH EXCESS LEAVE.

[DOCX File]AFTER ACTION REPORT SAMPLE
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The majority of hard to find items could be located but were rather expensive. We had trouble finding vendors capable of repairing printers, computers, and copiers. Parts for the American made items had to be shipped from overseas which would make the cost of the repair unreasonable and performance period unacceptable.

[DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal
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Provides full-scope, no cost Medi-Cal coverage for children age 1 through 6 years old whose family income is 143 up to and including 266 percent of the FPL. H0 Full No HPE (Title XXI). Provides full-scope, no cost Medi-Cal coverage for children age 6 through 19 years old whose family income is above 133 up to and including 266 percent of the FPL.

[DOC File]www.dol.gov
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Some of these options may cost less than COBRA continuation coverage. You can learn more about many of these options at www.healthcare.gov. If you have questions. Questions concerning your Plan or your COBRA continuation coverage rights should be addressed to the contact or contacts identified below.

No cost free plastic surgery