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1230 US Highway 11 Governor, NY 13642 Phone: 18776359545 Prior Authorization Fax: 18447128129Dolophine () Prior Authorization Request Form (Page 1 of 2) Member Information (required)Provider Information
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How to fill out proact
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What is proact?
Proact refers to the 'Patient Resource and Options for Treatment' which is a system or guideline to help manage patient care and treatment options effectively.
Who is required to file proact?
Typically, healthcare providers, facilities, or organizations involved in patient treatment and care planning are required to file Proact.
How to fill out proact?
To fill out Proact, healthcare providers should gather relevant patient information, follow the provided guidelines, and complete all required fields, ensuring accuracy before submission.
What is the purpose of proact?
The purpose of Proact is to streamline the process of treatment planning and ensure that patient options and resources are effectively documented and communicated among healthcare providers.
What information must be reported on proact?
The information that must be reported on Proact includes patient demographics, treatment options, patient preferences, and any other relevant medical history.
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