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Get UNMC Preauthorization Information Form 2020-2023

198 | 402-559-5070 unmc.edu/geneticslab Cover Page USE THIS FORM TO REQUEST INSURANCE AUTHORIZATION PRIOR TO SPECIMEN COLLECTION. THIS IS NOT AN ORDER FOR TESTING. » If submitting a specimen with a request for insurance authorization, do not continue with this form; instead, utilize the appropriate test request form and indicate that insurance authorization is needed. » Please note, the ideal time to submit a patient specimen and orders for testing is after all steps below are completed. T.

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