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Standards for Privacy of Individually Identifiable
(v) Utilization review activities, including precertification and preauthorization of services, concurrent and retrospective review of services; and. (vi)
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OptumRx Prior Authorization Form.pdf
This document and others if attached contain information that is privileged, confidential and/or may contain protected health information (PHI).
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Continuing Authorization Request Form
Concurrent review will be completed as applicable after the first concurrent authorization. A telephonic request can be completed if necessary. Please note
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