Hearing Aid Repair/Durable Medical Equipment Provider Hotline Service Authorization Request

Document Information
  How to complete a fillable form.
Title Hearing Aid Repair/Durable Medical Equipment Provider Hotline Service Authorization Request (English)
Document number F245-418-000
Document type Form
How to get this document
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Valid dates 01/2018
Contact information Provider hotline - 1-800-848-0811
Related information
Documents Hearing Services Worker Information
Websites Fee Schedules and Payment Policies (MARFS)

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