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OUTPATIENT AUTHORIZATION Form & Bill Drug Requests Fax to: 18663741579 Complete and Fax to: 18665328834 Transplant Requests Fax to: 18337830872 BH Fax to:18448705064(GEORGIA)Request for additional

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What is pshp - ga-paf-0678?

pshp - ga-paf-0678 stands for Personal Health Services Plan - Georgia Provider Application Form 0678.

Who is required to file pshp - ga-paf-0678?

Healthcare providers in Georgia who offer personal health services are required to file pshp - ga-paf-0678.

How to fill out pshp - ga-paf-0678?

To fill out pshp - ga-paf-0678, providers need to provide detailed information about the services they offer, their qualifications, and other required documentation.

What is the purpose of pshp - ga-paf-0678?

The purpose of pshp - ga-paf-0678 is to ensure that healthcare providers offering personal health services in Georgia meet the necessary qualifications and requirements.

What information must be reported on pshp - ga-paf-0678?

Information such as provider details, services offered, qualifications, license information, and any supporting documentation must be reported on pshp - ga-paf-0678.

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