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HEALTH PARTNERS PLANS
PRIOR AUTHORIZATION REQUEST Comforted (tripartite)
Phone: 2159914300Fax back to: 8662403712Health Partners Plans manages the pharmacy drug benefit for your patient. Certain requests
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What is is form patient equal?
IS Form Patient Equal is a form used to report patient information.
Who is required to file is form patient equal?
Healthcare providers and organizations are required to file IS Form Patient Equal.
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IS Form Patient Equal can be filled out electronically or manually with patient information.
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The purpose of IS Form Patient Equal is to gather and report patient data for analysis and statistical purposes.
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Patient demographic information, medical history, and treatment details must be reported on IS Form Patient Equal.
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