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1. Fill out your ambetter inpatient prior authorization fax form with a group of major blanks. Collect all of the necessary information and make sure nothing is overlooked!
2. Given that the previous array of fields is done, you have to put in the required specifics in Servicing ProviderFacility Name, Phone, Fax, AUTHORIZATION REQUEST, Primary Procedure Code, Start Date OR Admission Date , Diagnosis Code , CPTHCPCS, Modiier, MMDDYYYY, ICD, Additional Procedure Code, End Date OR Discharge Date, CPTHCPCS, and Modiier so you're able to move on further.
Always be really attentive while filling out CPTHCPCS and Diagnosis Code , since this is where many people make errors.
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