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Https://providers. Amerigroup.hepatitis C THERAPY PRIOR AUTHORIZATION FORM Incomplete forms will be returnedPlease fax this form to 18444904871 Please attach copies of the patients medical history
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Amerigroup fax number is used for submitting documents and information to Amerigroup electronically.
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Providers, pharmacies, and healthcare organizations contracted with Amerigroup are required to file the amerigroup fax number.
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The information reported on Amerigroup fax number may include patient information, treatment plans, claims, and any other relevant documentation requested by Amerigroup.
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