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CRITERIA: PMT APPROVED: 11/2014 VERIFIED: 7/2020 REVIEWED:Prior Authorization Criteria Form This form applies to Paramount Commercial Members OnlyActemra Complete/review information, sign and date.

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How to fill out please fax signed forms

1. To fill out please fax signed forms, follow these steps:
2. Gather all the required forms that need to be signed and faxed.
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6. Review any instructions or guidelines provided on the form and comply with them.
7. Sign each form where required, ensuring your signature is clear and legible.
8. Double-check for any missing or incomplete fields and provide the necessary information.
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10. Use the fax machine to send the signed forms or upload them to the internet-based fax service.
11. Confirm that the fax or upload was successful by checking for a confirmation receipt.
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13. Follow up with the recipient to ensure they received the faxed forms and verify if any further actions are needed.

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