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OPTIMA HEALTH PLAN PHARMACY PRIOR AUTHORIZATION/STEPPED REQUEST* Directions: The prescribing physician must sign and clearly print name (preprinted stamps not valid) on this request. All other information
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How to fill out no additional phone calls:

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Check for any phone numbers listed on the form that require verification or contact.
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Leave those phone number fields blank or write "N/A" or "no additional phone calls needed" next to them.
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Clearly indicate in the relevant section of the form that no additional phone calls are required by highlighting or underlining the statement.

Who needs no additional phone calls:

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Individuals who have already provided all necessary contact information and do not wish to be contacted further via phone.
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Individuals who have indicated their preference to not receive any phone calls for privacy or personal reasons.
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No additional phone calls refers to a report or statement submitted by a taxpayer indicating that they did not make any additional phone calls during a specific period.
Taxpayers who did not make any additional phone calls during a specific period are required to file a no additional phone calls statement.
To fill out a no additional phone calls statement, taxpayers typically need to indicate the period covered, confirm that no additional phone calls were made, and provide any necessary supporting documentation.
The purpose of a no additional phone calls statement is to accurately report that no additional phone calls were made during a specific period, which may have tax or regulatory implications.
On a no additional phone calls statement, taxpayers typically need to report the period covered, confirm that no additional phone calls were made, and may need to provide supporting documentation.
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