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Prior Authorization Fax Request Form Fax: 8448814772 Phone: 8668155334 When you need to request prior authorization, please use this form and complete all fields. The list of services that require
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Step 1: Gather all necessary documents and information that you want to include in the fax.
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Fax 844-881-4772 is a designated fax number for submitting certain documents or forms.
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