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If prior authorization obtained please provide auth BHRF for DTAP Initial authorization 30 days maximum concurrent review cycle 30 days 90 day max stay. PM FORM 10. 1. 3 NOTICE OF ADMISSION Date of Notice Member Name Notice of admission authorization MUST be received within 1 business day of the admission. This notification may be entered via the web portal for participating Inpatient providers AIC DTAP BIP BHRF BHRF-SUD PP HCTC BHTH and BHIF-SAF detox facilities. AIC Acute Intervention...
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How to fill out date of notice
01
Make sure you have all the necessary information and documents related to the notice.
02
Start by entering the current date in the designated field in the notice form.
03
Specify the recipient of the notice, such as the landlord, employer, or organization.
04
Include a clear and concise subject line that indicates the purpose of the notice.
05
Provide a detailed description of the notice, including any relevant dates, times, or events.
06
If required, attach any supporting documents or evidence to the notice.
07
Review the filled-out notice for accuracy and completeness before submitting or sending it.
08
Keep a copy of the filled-out notice for your records.
09
Consider sending the notice via certified mail or obtaining proof of delivery for legal purposes.
Who needs date of notice?
01
Anyone who wants to officially communicate a notice to another party.
02
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Anyone who wants to maintain a written record of communication for future reference.
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What is date of notice?
The date of notice is the date when a notice or communication is given or received.
Who is required to file date of notice?
The required party to file the date of notice depends on the specific situation or contract in question.
How to fill out date of notice?
The date of notice should be filled out by writing the specific date on the document or communication.
What is the purpose of date of notice?
The purpose of the date of notice is to ensure proper communication and document timelines in business transactions or legal matters.
What information must be reported on date of notice?
The information reported on the date of notice typically includes the specific date of communication or notice being provided.
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