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Prior Authorizations - Integumentary (Skin) System

Updated 11/1/07

For Laredo, Texas Commercial Members - Mercy Oklahoma Employees -
Fort Scott & Independence Kansas Employees -
Ardmore, Oklahoma Employees -
Fort Smith, Arkansas Employees
- Rogers, Arkansas Employees

Obtain precertification for the following services by calling 1-800-647-2240.
All T-codes require prior authorization.

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