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HEALTH PARTNERS MEDICARE PRIOR AUTHORIZATION REQUEST FORMTracleer Medicare Phone: 2159914300Fax back to: 8663713239Health Partners Plans manages the pharmacy drug benefit for your patient. Certain
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What is is form member 18?
The form member 18 is a document used to report information about members of an organization.
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Information such as the name, address, and membership status of each member must be reported on form member 18.
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