Prior-auth readiness · for the coordinator

Interventional pain: will the chart clear before you submit?

You rarely lose because you don't know the rules — you lose because the note doesn't say it right. "Block worked great" instead of "80%." "PT tried" with no dates. Pick the procedure, answer a few questions, and this checks the request against the payer's real criteria, flags the exact wording that gets denied, and gives you copy-paste chart language and a peer-to-peer script.

✓ Verified against eviCore CMM-200 / CMM-201 / CMM-208 + Medicare LCD · No patient data leaves this page

Have the full note in front of you? Paste it into the note auditor → and it'll read the note and flag the gaps for you.

The request

Informational readiness aid — not medical or coverage advice, and not a guarantee. Criteria are digested from eviCore Comprehensive Musculoskeletal guidelines — CMM-200 (Epidural Steroid Injections), CMM-201 (Facet Joint Injections/Medial Branch Blocks), CMM-208 (Ablations/Denervations), 2025–2026 — and Medicare LCDs, which change over time and vary by plan. Enter de-identified case details only. Always confirm with the member's specific plan.