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Printed Date: 9/22/2015
UTN (Unique Tracking Number)
If you have you received an Additional Documentation Request (ADR) for an affirmed Unique Tracking Number (UTN), perhaps the incorrect UTN was submitted by mistake.
Multiple Prior Authorization Requests
Multiple prior authorization requests have been received for the same transports. Please do not submit another request for the same transport until you receive a decision letter for the first request.
Please ensure that all documentation submitted as part of a prior authorization request for repetitive scheduled non-emergent transports is submitted together to include the medical necessity statement. Multiple requests with incomplete documentation delay processing and may result in the request not being affirmed.
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Last Updated: 07/28/2017