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UTAH DEPARTMENT OF HEALTH, PRIOR AUTHORIZATION REQUEST FORM Preferred Authorization Request Patient name: Medicaid ID #: Prescriber Name: Prescriber NPI#: Contact person: Prescriber Phone#: Extension/Option:
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What is utah department of health?
The Utah Department of Health is a state government agency responsible for promoting and protecting the health of Utah residents.
Who is required to file utah department of health?
Healthcare providers, facilities, and entities in Utah are required to file reports with the Utah Department of Health.
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Fill out the required forms and reports provided by the Utah Department of Health with accurate and timely information.
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The purpose of the Utah Department of Health is to monitor and improve public health in the state of Utah.
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Information such as healthcare data, disease outbreaks, health statistics, and other relevant public health information must be reported to the Utah Department of Health.
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