Mandatory pre-approval for specified stereotactic radiosurgery and related radiation therapy procedure codes
This document mandates pre-approval (pre-authorization) for specified stereotactic radiosurgery and related radiation therapy procedure codes for Culinary Health Fund members; it affects providers submitting these services for oncology patients.
No material clinical or coverage changes in this revision.
Pre-approval and Authorization Requirements
Pre-approval submission requirements
Covered when ALL of the following are met:
ALL of the following
- Call 866-330-2307
- Submit via www.americanhealthholdings.com
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.