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Behavioral Health inpatient authorization form Fax to: 616.975.0249 Missing or incomplete information including required clinical documentation (when required) may result in a delay in reviewing request.
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Fax to 616 is a form used for reporting specific financial information to the IRS.
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Taxpayers who meet certain criteria set by the IRS are required to file fax to 616.
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Fax to 616 can be filled out manually or electronically following the instructions provided by the IRS.
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