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THIS IS NOT AN APPROVAL. After validating the information on this form is correct, you must fax to the numbers below to submit the
preauthorization request with supporting medical records. No payment
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What is after validating the information?
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Who is required to file after validating the information?
After validating the information, the responsible party or department is required to file the report.
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What is the purpose of after validating the information?
The purpose of after validating the information is to ensure accuracy and reliability of the reported data.
What information must be reported on after validating the information?
After validating the information, all relevant data and findings must be reported in the designated format.
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