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01/19/2016 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. Please contact Mercy Maricopa Integrated Care - TXIX/XXI SMI at 1-800-564-5465 with questions regarding the Prior Authorization process. More than 10 of their pre-HIV baseline weight OR has a...
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When conditions are met refers to a specific set of criteria that must be satisfied in order for a certain action or decision to be taken.
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The individual or entity responsible for meeting the conditions outlined in the agreement or policy is required to file when conditions are met.
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