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PARTNERSHIP HEALTHPLAN OF CALIFORNIA POLICY / PROCEDURE Policy Number: MPUP3077 (previously HKUP3077 & KK UM 114) Lead Department: Health Services Policy Title: PCP to Specialty Care Referral Process

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2005 2010 CALIFORNIA PCP RAF PHC CCS MPUP3077 PartnershipAdvantage KK medi HKUP3077 immunodeficiency HEALTHPLAN ICD-9 E-RAF schedulted Farifield timeframe Dx HIV nonavailability Page1of4 followup PHCs STDs Page2of4 Obstetrical Page3of4 InterQual PCPs 24X7

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This document is a brief summary of the student health insurance plan (ship) for the

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