Request Prior Approval of Carotid Stenting Coverage

Physician Note: This sample letter template provides suggestions to assist in writing a Letter of Medical Necessity or prior authorization request for the Acculink Carotid Artery Stent System or the Xact Carotid Stent for patients with carotid artery disease at high surgical risk.It is always the provider’s responsibility to determine the medical necessity of a service for a particular ... ................
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