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HEALTH PARTNERS MEDICARE PRIOR AUTHORIZATION REQUEST Foreign Risk Medications In the Elderly Medicare Phone: 2159914300Fax back to: 8663713239Health Partners Plans manages the pharmacy drug benefit
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To fill out the specialty facility name, you need to follow these steps:
02
Locate the specialty facility name field on the form.
03
Enter the name of the specialty facility in the designated space.
04
Make sure to enter the name correctly without any spelling errors.
05
If applicable, provide the full and accurate name of the specialty facility.
06
Double-check the spelling and correctness of the entered name.
07
Save or submit the form with the filled out specialty facility name.

Who needs specialtyfacility name if applicable?

01
The specialty facility name is needed by individuals or organizations who are required to provide specific identification or clarification of the facility they are associated with.
02
Examples of those who may need to provide a specialty facility name are medical professionals, healthcare providers, researchers, specialists, rehabilitation centers, and any other entity that operates a specialized facility.
03
Having a specialty facility name helps in accurately identifying and distinguishing the particular facility from others in the same field.
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