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Go to prior authorization form now. If you are looking to file a health or dental claim, you can do so by logging into my health. Download or fill out online the prior authorization form for certain healthcare services. Find out how to get prior authorization for some medications covered by your health plan. If you are not the patient.
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Speak to a licensed agent at 888.234.5707. If you are not the patient or the prescriber, you will need to submit a phi disclosure authorization. Prescriber fax form only the prescriber may complete this form. Go to prior authorization form now.
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Find out how to get prior authorization for some medications covered by your health plan. Get approval before receiving certain healthcare services.