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Ruconest (C1 esterase inhibitor, recombinant) Medication Precertification Request Aetna Precertification Notification Phone: 18667527021 FAX: 18882673277 For Medicare Advantage Part B: Please Use
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01
Identify the patient's symptoms, such as recurrent swelling in various parts of the body.
02
Gather family history to determine if there is a genetic link to hereditary angioedema.
03
Consult with a healthcare provider for a proper diagnosis through clinical evaluation and laboratory tests.
04
Obtain necessary blood tests to measure C4 and C1 inhibitor levels.
05
Complete any genetic testing if required to confirm the type of hereditary angioedema.
06
Use the results to create an appropriate management plan which may include medication and avoidance of triggers.

Who needs hereditary angioedema - medical?

01
Individuals with a family history of hereditary angioedema.
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Patients experiencing unexplained recurrent swelling episodes.
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Those who have been diagnosed with angioedema without an apparent cause and may benefit from further investigation.
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Hereditary angioedema is a rare genetic condition characterized by recurrent episodes of severe swelling in various parts of the body, including the face, extremities, gastrointestinal tract, and airway. It is caused by a deficiency or dysfunction of a protein called C1 inhibitor.
Patients diagnosed with hereditary angioedema may need to file medical claims for treatment or therapy related to their condition, typically done by healthcare providers on behalf of the patient.
To fill out the hereditary angioedema medical claim, patients or their healthcare providers must provide detailed information about the diagnosis, treatment received, dates of service, and other relevant medical history to ensure proper processing by insurance companies.
The purpose of filing hereditary angioedema medical claims is to receive reimbursement for the medical expenses incurred in the diagnosis and treatment of the condition. It helps ensure patients have access to necessary therapies.
Information that must typically be reported includes patient identification details, the diagnosis code (ICD code), treatment rendered (CPT codes), dates of service, and any other pertinent medical documentation.
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