• Auth, ref EOB
     Help
  • What is a referral?
    When PCM/provider places a request to send a member to a specialist
  • What is an Authorization?
    when a PCM/Provider places a request to complete a service/provide DME for a member
  • How many visits is an Evaluate and Treat referral?
    6 - 1 initial visit and 5 follow up visits
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