Auto-Approval Authorization Table

The table linked here reflects the number of physical therapy sessions that will automatically approve by body site. Auto approval is possible if the request meets medical necessity criteria and the submission includes sufficient clinical information. Please note that this content is subject to change without notice. Auto approval thresholds are differentiated by INITIAL and SUBSEQUENT visit units. 

Immediate Auto Approval Benefits (when medical necessity criteria is met):
  • PT authorization requests within the maximum unit threshold will auto-approve--  no lost time with pended requests, manual review, or submitting additional justification documentation.
  • Auto approval provides greater flexibility with the least administrative burden. 
  • Promotes adherence to clinically proven guidelines.
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