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Dmap Prior Authorization Form 2015

Dmap Prior Authorization 2015-2025 Form

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[Music] are you ready for some big news starting june 21st 2022 prior authorization of certain hospital outpatient procedure decision letters will be faxed to both the part b physician and the part a facility to improve communication of our prior authorization decisions to both are part a hospital outpatient departments and our part b physicians and practitioners we have made the decision to fax our decision letters to both entities if the information is provided by the requester to facilitate this change we have updated our hospital outpatient department prior authorization request form to add the fields for fax number in the facility information and the physician practitioner information sections a link to this form is available in the description below we have removed the fax number field from the requester information section for clarity we encourage all prior authorization requesters to supply this information to ensure both the part a and part b entities receive notification of t

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OR OHP 3978 2015
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