№ files_lp_3_process_7_094089
File format: docx Character count: 24057 File size: 2822 KB
This document outlines how FaxCore integrates with the ShoreTel system to provide a unified solution for voice and fax communication, detailing setup, configuration, and testing results.
Year: 2007
Region / City: USA, Malaysia, Australia
Theme: Telephony, Fax Solutions, Integration
Document Type: Product Information
Organization / Institution: FaxCore Software
Author: FaxCore Software
Target Audience: Small and Medium Enterprises (SMEs)
Period of Validity: N/A
Approval Date: N/A
Date of Changes: N/A
Price: 8 / 10 USD
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Inpatient Prior Authorization Fax Request Form for Medicaid Providers
Year: Not specified
Region / jurisdiction: South Carolina
Program: Medicaid
Document type: Administrative form
Purpose: Prior authorization review for inpatient services
Submitting method: Fax
Fax number: 1-855-300-0082
Responsible organizations: KePRO; South Carolina Department of Health and Human Services
Provider identification: National Provider Identifier (NPI); Medicaid ID
Mandatory provider location data: 9-digit ZIP code
Review types: Initial; Recertification; Change; Cancel; Retrospective review
Service setting: Inpatient; freestanding inpatient psychiatric
Population focus: Medicaid members; psychiatric services for children under 21 and adults 65 and older
Eligibility window: Up to 30 days prior to scheduled services
Clinical information required: Diagnosis; severity of illness; intensity of services
Approval process: Subject to medical necessity and eligibility verification
Acentra Health Medicaid Prior Authorization Fax Submission Form
Note: Year
Theme: Prior Authorization
Document Type: Fax Form
Organization / Institution: Acentra Health, SCDHHS
Target Audience: Medicaid Providers
Submit fax request for Prior Authorization to 1-855-300-0082
Year: N/A
Region / City: N/A
Topic: Medicaid, Prior Authorization, Targeted Case Management
Document Type: Fax Request Form
Agency / Institution: Acentra Health
Author: N/A
Target Audience: Healthcare providers, Medicaid service providers
Effective Period: N/A
Approval Date: N/A
Amendment Date: N/A
Outpatient Prior Authorization Fax Submission Form for Medicaid Providers
Organization: Acentra Health
Program: South Carolina Department of Health and Human Services (SCDHHS)
Document type: Administrative form
Purpose: Prior authorization, recertification, change, or cancellation of outpatient Medicaid services
Submission method: Fax
Fax number: 1-855-300-0082
Applicable services: Mental Health Counseling, Therapies (PT, OT, SP), DME, Home Health, Hospice, Autism Spectrum Disorder
Provider identification: National Provider Identifier (NPI) with 9-digit ZIP Code
Member identification: Medicaid ID Number
Geographic scope: South Carolina
Review types: Initial, Recertification, Change, Cancel, Retrospective Prepayment Review
Governing criteria: SCDHHS and InterQual guidelines
Associated system: Atrezzo Connect
Submission timing: Up to 30 days prior to scheduled services, excluding weekends and holidays
KEPRO-SCDHHS QIO Prior Authorization Fax Submission Form
Year: 2026
Region / City: South Carolina
Theme: Medicaid, Prior Authorization
Document Type: Form
Organization / Institution: KEPRO-SCDHHS
Author: KePRO
Target Audience: Medicaid providers
Period of Validity: Ongoing
Approval Date: Not specified
Date of Changes: Not specified
Transmitting Private Information Electronically Best Practices Guide for Communicating Personally Identifiable Information by Email, Fax or Other Electronic Means
Year: 2019
Region / City: North Carolina
Subject: Data Privacy and Security
Document Type: Best Practices Guide
Institution: North Carolina Department of Public Instruction
Author: Division of School Data, Research and Federal Policy
Target Audience: NC Department of Public Instruction (DPI) staff, school and LEA staff
Period of Validity: Ongoing
Approval Date: August 30, 2019
Date of Modifications: Not specified
Submit fax request for Service Authorization
Note: Year
FAX Referral Form for Continence Management and Advice Service
Year: Not specified
Region / City: Western Australia
Theme: Healthcare, Continence Management
Document Type: Referral Form
Organization / Institution: Silver Chain
Author: Not specified
Target Audience: Medical practitioners, healthcare facilities, and clients
Period of validity: Not specified
Approval Date: Not specified
Date of amendments: Not specified
Fax completed form to Alberta Health, CD: 780-415-9609
Note: Year
Time Sensitive FAX Medical Provider Networks (MPN) Continued Participation
Year: 2014
Region / City: California
Document Type: Compliance Notice
Organization: Signature Networks PLUS
Author: Signature Networks PLUS
Target Audience: Medical Providers, Physician Offices
Period of Action: Starting January 1, 2014
Approval Date: Not specified
Amendment Date: Not specified
NameTitleECU Division/College/School/Dept/etcStreet Address | Mail Stop 123Greenville, NC 27858-4353Office: 252-328-phon | Email | Fax: 252-328-faxecu.edu/website
Year: Not provided
Region / City: Greenville, NC
Topic: Not specified
Document Type: Contact Information
Organization / Institution: East Carolina University
Author: Not provided
Target Audience: Not specified
Effective Period: Not specified
Approval Date: Not provided
Amendment Date: Not provided
Topics: FaxCore ShoreTel Fax