spacer spacer spacer
banner site spacer
banner spacer
 
Pre Authorization Request

Please select the PreAuthorization Request form below to print and fax to IMO at 972-991-5572 or 888-275-9946 along with supporting Clinical Records.

Click here for Pre-Authorization Request Form (43 KB PDF)

 

 



Who We Are | Contact Us | Latest News | Career Opportunities
 Summary of Services | Medical Case Management | IMO Med-Select Network® | Industry Care
Cost Containment | Testimonials | Success Stories | Case Studies | Resources | Facts & statistics
Links | Web Forms | General Inquiry | Medical Case Management Referrals
 Pre-Authorization Release | Downloadable PDFs | Home

 

 

 

prizm
Web design by PRIZM Development Inc., www.prizmbrochure.com
Copyright ©2006 Prizm Development, Inc