Get the free Fax Back To: 1-800-853-3844

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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1. Start by gathering all the necessary information and documents that need to be included in the fax back. This might include forms, contracts, or any other paperwork required.
2. Ensure that you have access to a fax machine or an online faxing service. If using a physical fax machine, make sure it is connected and functioning properly.
3. Dial the fax number 1-800-853-3844 on the fax machine or enter it into the online faxing service.
4. Double-check the number before sending the fax to avoid any errors.
5. Organize the documents in the order you wish them to be received by the recipient. It's a good practice to include a cover sheet with the necessary contact information.
6. Insert the documents into the fax machine or upload the files to the online faxing service.
7. Start the sending process and wait for the confirmation that the fax has been successfully transmitted. If using an online service, you may receive an email notification once the fax has been sent.
8. Keep a copy of the documents and the confirmation for your records.

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1. Individuals or businesses who have been requested to provide specific information or complete forms by the recipient of the fax.
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It's important to note that the fax number mentioned in this example (1-800-853-3844) is not an actual fax number. Please replace it with the correct fax number provided by the recipient.

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