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ELECTRONIC PAYMENT AUTHORIZATION Please indicate the form of payment you wish to use for any services rendered through this practice. The following forms of payment are accepted: Visa, MasterCard,
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It is a document outlining the best practices for authorization and reversal processing.
Any entity involved in authorization and reversal processing is required to file it.
The form should be completed by providing all the required information as per the guidelines provided.
The purpose is to ensure compliance with best practices in authorization and reversal processing.
Details about authorization and reversal processes used by the entity.
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