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Home
Security
How It Works
Services
Contact
About Us
Intake
Intake
Intake
Submit an Intake Request
Provide details about your prior authorization needs and Authora Medical Services will respond with next steps.
Phone
(435) 922-4494
E-mail
info@authoramedical.com
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Practice / Clinic Name
Primary Contact Name
Phone
Email
Payers involved
Estimated volume
Notes box
Type of authorization needed
Medications
Imaging
Diagnostic tests
Procedures
Durable medical equipment
Renewals
Message
Submit
Submit an Intake Request
Provide details about your prior authorization needs and Authora Medical Services will respond with next steps.
Practice / Clinic Name
Primary Contact Name
Phone
Email
Type of authorization needed
Medications
Imaging
Diagnostic tests
Procedures
Durable medical equipment
Renewals
Payers involved
Estimated volume
Notes box
Message
Submit*
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