S3620 prior authorization | Anthem Blue Cross and Blue Shield Virginia

S3620, Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electro, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: S3620
Description: Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electro
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 81 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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