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HEALTH PARTNERS MEDICARE PRIOR AUTHORIZATION REQUEST FORMLupron Depot Pediatric Medicare Phone: 2159914300Fax back to: 8663713239Health Partners Plans manages the pharmacy drug benefit for your patient.
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Depot -pediatric -medicare is a form used for reporting healthcare information related to pediatric care services.
Healthcare providers who offer pediatric care services are required to file depot -pediatric -medicare.
Depot -pediatric -medicare can be filled out by providing accurate healthcare information related to pediatric services rendered.
The purpose of depot -pediatric -medicare is to monitor and record pediatric care services for regulatory and informational purposes.
Information such as patient demographics, services provided, and healthcare provider details must be reported on depot -pediatric -medicare.
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