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Prior Authorization Form FAX: 4805888061 Incomplete forms will be faxed back to sender: Instructions: Please validate patient eligibility and benefits prior to rendering services FAX completed forms
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4805888061 is a form used in Puerto Rico, commonly known as the 'Informative Return of Payments to Non-Residents'.
Any individual or entity that makes payments to non-residents for services performed in Puerto Rico is required to file 4805888061.
To fill out 4805888061, you need to provide the payee's information, total amounts paid, and specify the type of payment being reported.
The purpose of 4805888061 is to report payments made to non-residents so that the Puerto Rico tax authority can ensure proper tax compliance and collection.
The form requires reporting the payee's name, address, tax identification number, amount paid, and the type of payment made.
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