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Gulf Coast Medical Management
To verify your benefits, please call Meritain Customer Service directly at 800.925.2272.
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Authorization Request
If you are an SMH PHO physician office, do not use this form.
Click here to login and start the authorization in the appropriate Authorization section.
How will this information be used?
Authorization Request Type:
Tutorials:
You may retrieve an existing request by entering your case number.
Case Number:  
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