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/ Prior Authorization Request Form Please complete this entire form and fax it to: 8669407328. If you have questions, please call 8003106826. This form may contain multiple pages. Please complete
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What is 24 hour urgent?
24 hour urgent is a report that must be filed within 24 hours of a specific event or incident.
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Certain industries or organizations may be required by regulations to file a 24 hour urgent report.
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