esMD for the Review Choice Demonstration (RCD) and the Outpatient Department (OPD) Prior Authorization (PA)

Published 01/20/2021

Providers using esMD to submit for the Review Choice Demonstration (RCD) or the Outpatient Department (OPD) Prior Authorization (PA), should use a coversheet with the following demographic information:

  1. Provider Transaction Access Number (PTAN)
  2. National Provider Identifier (NPI)
  3. Contact Number