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UNIFORM PHARMACY PRIOR AUTHORIZATION REQUEST FORM CONTAINS CONFIDENTIAL PATIENT INFORMATION Complete this form in its entirety and send to Rocky Mountain Health Plans at 858-357-2538 Urgent 1 Non-Urgent
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Non-urgent - rmhp refers to a non-emergency request for medical treatment under a managed health plan.
Healthcare providers are required to file non-urgent - rmhp for their patients.
Non-urgent - rmhp forms can be filled out by healthcare providers with relevant patient information and treatment request details.
The purpose of non-urgent - rmhp is to request non-emergency medical treatment under a managed health plan.
Non-urgent - rmhp forms must include patient information, treatment requested, and justification for the non-emergency nature of the request.
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