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Date of Request Level of Care (circle one): Inpatient Outpatient BARS Other Requests for (circle one): Grievance Level External Review Fax to: (855) 4392445 or mail to the address below. Requests
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Step 1: Access the vbh-pacom website.
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vbh-pacom stands for Voluntary Beneficiary Health Package - Provider Access and Coverage Authorization Module.
Healthcare providers who participate in the Voluntary Beneficiary Health Package program are required to file vbh-pacom.
vbh-pacom can be filled out online through the designated portal provided by the program administrators.
The purpose of vbh-pacom is to authorize access to healthcare services for beneficiaries under the Voluntary Beneficiary Health Package program.
vbh-pacom requires providers to report details of the services provided, beneficiary information, and authorization codes.
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