Anthem Blue Cross and Blue Shield Virginia prior authorization E0486

Anthem Blue Cross and Blue Shield Virginia prior authorization for E0486: Oral device/appliance used to reduce upper airway collapsibility, adjustable or non- adjustable, custom fabricated, inclu

Code: E0486
Description: Oral device/appliance used to reduce upper airway collapsibility, adjustable or non- adjustable, custom fabricated, inclu
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 64 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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