Prior Authorizations
5 total · 2 pending · 2 approved · 1 denied
All Authorizations
Maria Santos · Dr. Manoj Rai · Aetna
ICD: C50.911, Z12.31
Surveillance imaging for Stage II breast cancer patient on active treatment.
Robert Kim · Dr. Maria Rivera · Medicare
ICD: J44.1
COPD exacerbation. FEV1 declining. Need post-bronchodilator response to guide therapy change.
Patricia Williams · Dr. Manoj Rai · Aetna
ICD: C83.30, Z51.11
Mid-treatment response assessment for Non-Hodgkin Lymphoma after R-CHOP cycle 3.
William Foster · Dr. David Park · Medicare
ICD: I50.22, I48.0
CHF patient with worsening symptoms. Need functional assessment despite recent resting echo.
Denial Reason
Resting echo performed within 90 days. Stress echo not medically necessary per LCD criteria.
Elena Rodriguez · Dr. James Chen · Blue Cross Blue Shield
ICD: M06.061
RA with active knee synovitis despite methotrexate. Corticosteroid injection for symptomatic relief.