Do you have questions about what to include with your hip, shoulder, or knee arthroplasty and/ or arthroscopy requests? We have just the resource for you! The image below outlines the documents and specificity that should be included with attachments when submitting your request in the Cohere portal. Click here to print this information.
Depending on the procedure codes entered for authorizations, the following documentation may be required. In very few circumstances, additional information that is not listed may be requested. For every authorization, regardless of service, clinical documentation MUST include two (2) patient identifiers:
Either full name and date of birth; OR
Full name and health plan member ID (we cannot accept the patient's medical record number as an identifier because we do not have that information available when completing reviews)
This information should be included either on all pages of the document or on the first page of the document with other pages in continuation of the first page (ex. 1/10, 2/10, 3/10, etc)