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Oncology Access and Reimbursement SupportPHONE: 18008610048 | FAX: 18887762370Patient Name:Date of Birth:PHYSICIAN SERVICES to be completed by Physician Services Requested (Please choose all services
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Section 5 fee-for-service prior refers to the part of a form or application that pertains to the fees required for a specific service before it is provided.
Anyone requesting a service that has a fee associated with it is required to file section 5 fee-for-service prior.
Section 5 fee-for-service prior should be filled out by providing the requested information about the service being requested and the corresponding fee.
The purpose of section 5 fee-for-service prior is to ensure that the necessary fees are paid before the service is provided.
The information that must be reported on section 5 fee-for-service prior includes the type of service being requested, the amount of the fee, and any payment details.
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