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() Authorization Request Complete form in its entirety and fax to the UM Department at 1-800-823-5520 or contact 1-866-902-1689. Click on gray boxes to type Request Date: Initial Authorization Request
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How to fill out click on grey boxes:

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Start by locating the grey box that you need to click on. Look for a box that appears different from the surrounding elements on the webpage, usually with a grey or shaded background.
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Click on grey boxes is a process of selecting specific options or actions on grey-colored sections on a digital interface.
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