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Gov. WEBPBSC-0215-16 December 2016 SC Medicaid PAB Fax Form 11. 05. 16. doc PATIENT NAME PATIENT ID 9. BlueChoiceSCMedicaid.com BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association. BlueChoice HealthPlan has contracted with Amerigroup Partnership Plan LLC an independent company for services to support administration of Healthy Connections. CONTAINS CONFIDENTIAL PATIENT INFORMATION Complete form in its entirety and fax to Prior Authorization of...
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What is patient has non-small cell?
Non-small cell is a type of lung cancer that accounts for about 85% of all lung cancers.
Who is required to file patient has non-small cell?
Healthcare providers are required to report cases of non-small cell lung cancer.
How to fill out patient has non-small cell?
Healthcare providers must report the patient's demographics, medical history, and diagnostic information.
What is the purpose of patient has non-small cell?
The purpose is to track and monitor cases of non-small cell lung cancer for research and treatment purposes.
What information must be reported on patient has non-small cell?
Demographics, medical history, diagnostic information, and treatment plan.
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