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Search results with tag "Preferred ipa"

DIRECT REFERRAL FORM - Preferred IPA of California

DIRECT REFERRAL FORM - Preferred IPA of California

www.preferredipa.com

DIRECT REFERRAL FORM FAX TO: 800-874-2093 Cardiology 786.50 chest pain or 427.xx dysrhythmias -uncontrolled CPT Code: NEPHROLOGY (for creatinine > 2) CPT Code: ENDOCRINE CPT Code: OPHTHALMOLOGY Yearly Diabetic exam RETINAL SPECIALIST ONLY for Acute Retinal Detachment

  Form, Direct, Preferred, Referral, Direct referral form, Preferred ipa

Phone (800) 874 -2091 DATE SUBMITTED: - Preferred Ipa of ...

Phone (800) 874 -2091 DATE SUBMITTED: - Preferred Ipa of ...

www.preferredipa.com

labs must be sent to - the assigned contracted lab for the member’s pcp. please call 818-265-0800 x200 to verify pcp’s contracted laboratory service provider.

  Date, Preferred, 2019, Submitted, 874 2091 date submitted, Preferred ipa

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