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COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES PHONE 18005378862 FAX 1 8663270191 Form Effective 9/28/15 PAH AGENTS (ORAL) PRIOR AUTHORIZATION FORM To review the prior authorization guidelines
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Form effective 92815 is a document used for reporting certain information to the relevant authorities.
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Entities or individuals meeting specific criteria set by the authorities are required to file form effective 92815.
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The purpose of form effective 92815 is to ensure compliance with regulations and to report relevant information to the authorities.
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