![](https://www.pdfsearch.io/img/0a432bd5a09f769f5e51cae937618bf1.jpg) Date: 2018-05-22 14:03:42
| | Sample Letter of Prior Authorization [Date] [Contact name of medical director or other payer representative] [Contact title] [Name of health insurance company] [Address]Add to Reading ListSource URL: www.lexiconcares.comDownload Document from Source Website File Size: 34,02 KBShare Document on Facebook
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