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Humana requires prior authorization for outpatient lumbar MRI. Criteria: 6 weeks of conservative treatment failure OR red flag symptoms.
Change: Prior auth now required for all outpatient CT scans with contrast effective 1/1/2025.
💡 Affects ~340 claims/month based on your volume.
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General AI tools aren't built for healthcare. Here's why Payer Policy Copilot delivers better results.
Whether you're checking coverage, writing appeals, or training staff—Copilot helps.
Check coverage before scheduling. Catch prior auth needs upfront.
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