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Prior Authorization Request Form Fax Back To: 18008533844 Phone: 18007114555 5 AM 7 PM PT MF or visit www.OptumRx.com and click Health Care Professionals for online real-time submission 24/7 Prior
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Locate the field "date taken" on the form or document you are filling out.
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Enter the specific date on which the event or activity described in the form took place.
03
Use the format requested by the form or document, such as MM/DD/YYYY or DD/MM/YYYY.

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Note: The relevance of date taken may vary depending on the context and requirements of the specific form or document being filled out.
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Date taken refers to the date on which a specific action or event occurred.
The individual or organization responsible for the action or event is required to report the date taken.
Date taken can be filled out by providing the specific date on which the action or event occurred in the designated field.
The purpose of date taken is to accurately record the timing of actions or events for documentation and tracking purposes.
The specific date on which the action or event occurred must be reported on date taken.
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