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01/18/2016 Prior Authorization MERCY MARICOPA INTEGRATED CARE - TXIX/XXI SMI MEDICAID AZ88 This fax machine is located in a secure location as required by HIPAA regulations. Complete/review information sign and date. Fax signed forms to Mercy Maricopa Integrated Care - TXIX/XXI SMI at 1-855-247-3677. Does the patient have a history of NSAID-induced gastritis that was confirmed by EGD If yes EGD report must be submitted with request. Please contact Mercy Maricopa Integrated Care - TXIX/XXI SMI...
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What is when conditions are met?
When conditions are met refers to a specific set of criteria or circumstances that must be satisfied before taking a certain action.
Who is required to file when conditions are met?
The individual or entity that is responsible for meeting the conditions outlined in the agreement or contract is required to file when conditions are met.
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To fill out when conditions are met, the individual or entity must ensure that all the required criteria are met and then document the completion of these conditions.
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The purpose of when conditions are met is to ensure that all necessary prerequisites are fulfilled before proceeding with a particular action or decision.
What information must be reported on when conditions are met?
The information that must be reported on when conditions are met includes details on the specific conditions that were met, the date of completion, and any supporting documentation.
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