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12/21/2016 Prior Authorization MERCY CARE PLAN (MEDICAID) oral (AZ88) This fax machine is located in a secure location as required by HIPAA regulations. Complete/review information, sign and date.
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Oral az88 is a specific form or document used for reporting oral health information.
Dentists and oral health professionals are required to file oral az88.
Oral az88 can be filled out by providing detailed oral health information as required on the form.
The purpose of oral az88 is to collect and report oral health data for analysis and research purposes.
Information such as patient demographics, oral health conditions, treatments provided, and outcomes must be reported on oral az88.
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