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Pharmacy Prior Authorization MERCY MARICOPA INTEGRATED CARE LXIX/XXI SMI (MEDICAID) Formulary Medications (Medicaid) This fax machine is located in a secure location as required by HIPAA regulations.
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Mercy Maricopa Integrated Care PA Guidelines is a set of guidelines established by Mercy Care to provide instructions on how to submit claims and request for services.
Providers who are contracted with Mercy Care and providing services to Mercy Maricopa Integrated Care members are required to file the guidelines.
Providers can fill out the guidelines online through the Mercy Care website or by submitting a hard copy form to the Mercy Care office.
The purpose of the guidelines is to ensure accurate billing, proper documentation, and timely submission of claims for services provided to Mercy Maricopa Integrated Care members.
Providers must report information such as member demographics, services rendered, diagnostic codes, and provider information on the guidelines.
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