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Get Care Advocates Precertification Form

Precertification Form Fax to: (316) 9282539 PROVIDER TO COMPLETE ALL SECTIONS BELOWMEMBER INFORMATION Member Name:Birth Date:Insurance ID Number:Phone Number:Elective for routine, nonurgent services Expedited.

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  3. Go through the recommendations to determine which information you must provide.
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  5. Put the relevant date and place your electronic autograph when you fill out all other boxes.
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