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GENERAL AUTHORIZATION /QUANTITY LIMIT EXCEPTION CERTIFICATION FATBACK FORM INCOMPLETE FORMS MAY DELAY PROCESSING ALL NC PROVIDERS MUST PROVIDE THEIR 5DIGIT Blue Cross NC PROVIDER ID# BELOW PRESCRIBER
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How to fill out general authorization quantity limit

01
Obtain the General Authorization Quantity Limit form from the designated department or provider.
02
Fill out all required fields on the form, including your name, contact information, and the specific quantity limit you are requesting.
03
Provide any necessary supporting documentation or justification for the requested quantity limit.
04
Submit the completed form to the appropriate individual or department for review and approval.

Who needs general authorization quantity limit?

01
Individuals who require authorization to purchase or access a specific quantity of a product or service may need a general authorization quantity limit.
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The general authorization quantity limit is the maximum amount of a specific item or resource that an individual or entity is allowed to possess or use.
Any individual or entity that is subject to regulations or requirements related to the possession or use of a specific item or resource may be required to file a general authorization quantity limit.
To fill out a general authorization quantity limit, the individual or entity must provide information such as the specific item or resource being limited, the maximum quantity allowed, and any relevant regulations that apply.
The purpose of a general authorization quantity limit is to regulate and control the possession and use of specific items or resources in order to prevent misuse or depletion.
The information that must be reported on a general authorization quantity limit includes the specific item or resource being limited, the maximum quantity allowed, and any relevant regulations or restrictions.
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