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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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How to fill out a fax back to 1-800-853-3844:

1. Start by gathering all the necessary documents and information that need to be faxed back. This may include forms, medical records, authorization letters, or any other required paperwork.
2. Make sure you have a fax machine or an online fax service that allows you to send faxes. If you don't have access to a fax machine, you can use websites or smartphone apps that offer faxing services.
3. Double-check the fax number to ensure it is correct. In this case, the fax back number is 1-800-853-3844.
4. Prepare your documents for faxing. Make sure they are organized and in the correct order.
5. Place the first document in the fax machine's tray or upload it to the online fax service. If using a physical fax machine, dial the number 1-800-853-3844 and press the send or start button. If using an online fax service, enter the fax number and click on the send button.
6. Wait for the fax to be sent. If using a physical fax machine, you may need to wait for a confirmation page to print out, indicating that the fax was successfully sent. If using an online fax service, you may receive an email notification confirming the successful sending of the fax.
7. Repeat the process for each additional document that needs to be faxed.

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1. Individuals or organizations that have been requested to submit specific documents, forms, or information to the recipient at the fax back number 1-800-853-3844.
2. This could include medical patients providing medical records, clients filling out forms or applications, or individuals responding to a request for additional information.
3. Any individual or organization that requires a secure and reliable method of transmitting documents that cannot be easily emailed or uploaded electronically may need to use a fax back service.

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Fax back to 1-800-853-3844 is a method of submitting documents via fax to the designated fax number.

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