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MEDICAL PRE-AUTHORIZATION REQUEST - hfni.com

www.hfni.com

MEDICAL PRE-AUTHORIZATION REQUEST . Used for COVENTRY (VISTA) or Vista Healthplan of South Florida Members.Fax the completed form to the Pre- Authorization dept. at (800) 528-2705 . or call Phone (800) 447-3725

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MPS Immunization Billing Quick Reference Chart - hfni.com

www.hfni.com

year for two different flu seasons and the provider would be reimbursed for each. For example, a beneficiary could receive a flu vaccination in January 2008 for the 2007-08 flu season and another flu vaccination in November 2008 for the 2008-09 flu season and

  Chart, Reference, Provider, Immunization, Quick, Billing, Mps immunization billing quick reference chart, Hfni

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