| Assigned Number |
Title |
Version Date | Publication Type | Other Location | Language |
|---|---|---|---|---|---|
| F-02815 | Prior Authorization for Hospital Prolonged Stay | April 20, 2022 |
Word
|
None | English |
| F-02815 | Prior Authorization for Hospital Prolonged Stay | April 20, 2022 |
PDF
|
None | English |
| F-02815 | Prior Authorization for Hospital Prolonged Stay Fax Cover Sheet | January 14, 2022 |
Word
|
None | English |
| F-02815 | Prior Authorization for Hospital Prolonged Stay Fax Cover Sheet | January 14, 2022 |
PDF
|
None | English |
Last Revised: April 20, 2022
