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Complete and Fax to: 1-877-401-8175 INPATIENT PRIOR AUTHORIZATION FAX FORM Standard Request Determination within 14 calendar days of receipt of request--Used for Scheduled Admissions. Acute, non-scheduled

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How to fill out complete and fax to:

1. Start by gathering all the necessary forms or documents that need to be completed. Make sure you have all the required information and any supporting documents that may be needed.
2. Carefully read through the forms or documents to understand the information that is required. Pay attention to any specific instructions or guidelines provided.
3. Begin filling out the forms or documents by entering the relevant information in the designated fields. Double-check your inputs for accuracy and completeness.
4. If there are any sections or questions that you are unsure about, seek clarification from the appropriate source, such as a supervisor or a customer service representative.
5. Review the completed forms or documents to ensure they are filled in correctly and all the necessary information has been provided. Make sure you have signed and dated the required sections.
6. Once you are confident in the accuracy of the completed forms or documents, prepare them for faxing. Gather any additional supporting documents or attachments that need to be included.
7. Locate a fax machine or a faxing service provider that allows you to send faxes. Ensure that you have the necessary recipient information, including the fax number and any additional instructions provided.
8. Place the completed forms or documents into the fax machine following the instructions provided. If using an online faxing service, upload the documents digitally.
9. Double-check that all the pages of the forms or documents are being transmitted properly and are legible. Confirm the accuracy of the recipient's fax number before sending.
10. Initiate the fax transmission or click the send button if using an online faxing service. Wait for the confirmation or receipt indicating that the fax has been successfully sent.

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By following these steps, you can effectively fill out complete forms and documents and correctly fax them to the necessary recipients, ensuring accuracy and timely submission.

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