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Initial Overpayment Letter Request by Fax Process To request a copy of a first demand letter that is

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The document outlines the process for requesting a copy of a first demand letter related to an Intent to Refer (ITR) letter by fax. It includes a form that must be completed and signed by a provider representative, detailing necessary information such as provider name, NPI, and contact details. The document specifies the appropriate fax numbers for different provider types and states that inquiries can be directed to the Provider Contact Center.

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