Processes, case management, and reimbursement matters 2026

1. Click ‘Get Form’ to open the Pre-Authorization Packet in the editor.
2. Begin by filling out the Patient Information section. Include details such as the patient's name, date of birth, and contact information.
3. Next, complete the Physician Information section. Enter the physician's name, group name, and contact details.
4. In the Procedure Information section, select the therapy type from the list provided and specify whether it is a trial or permanent procedure.
5. Fill in the Primary ICD-10 code and any Secondary ICD-10 codes relevant to the patient's condition.
6. Review all sections for accuracy before submitting. Ensure that all required paperwork is attached as specified in the guidelines.

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