Anthem Blue Cross - 2014 to Present (HMO, PPO, EPO)
Kroger HealthPro Glucose Test (
blood sugar diagnostic
)
Medical Supplies and Durable Medical Equipment : Medical Supplies and Durable Medical Equipment
PA_APPLIES
Prior Authorization: Amyotrophic Lateral Sclerosis (ALS):
Documented Diagnosis: Yes
Medical Test Required: Yes
Duration: 168 Day(s)
Reauthorization Required: Yes
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