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Results for: Claims and Insurance - Medical Provider Billing and Payment
Title:

Type:

CMS 1500 Billing Manual


Manual
F245-423-000
 
CMS 1500


Form
F245-127-000
 
Common Errors on the Interpretive Services Appointment Record (ISAR)


Publication
F245-436-000
 
Crime Victims Compensation Program Initial Response and Assessment: Form II


Form
F800-081-000
 
Crime Victims' Statement for Compound Prescription


Form
F800-067-000
 
Declaración de servicios de capacitación y modificación de trabajo


Form
F245-030-999

World Language(s):
Inglés
 
Declaración para servicios misceláneos


Form
F245-072-999

World Language(s):
Inglés
 
Electronic Billing Authorization


Form
F248-031-000
 
General Provider Billing Manual


Manual
F248-100-000
 
Hearing Aid Repair/Durable Medical Equipment Provider Hotline Service Authorization Request


Form
F245-418-000
 
Home Health Services Billing Manual


Manual
F245-424-000
 
Hospital Services Billing Manual


Manual
F245-425-000
 
Interpretive Services Appointment Record (ISAR)


Form
F245-056-000
 
Medical Examiners' Handbook


Publication
F252-001-000
 
Miscellaneous Services Billing Manual


Manual
F245-431-000
 
Non-accredited or Unlicensed Training Provider Application Supplemental Requirements


Form
F280-045-000
 
Option 2 Vocational Benefits Training Enrollment Application/Solicitud y verificación del registro para capacitación de beneficios vocacionales opción 2 (English/español)


Form
F280-024-909

World Language(s):
Inglés
 
Out of Country Provider Application


Form
F248-361-000

World Language(s):
Español
 
Payroll Service Provider - Quarterly Reporting Bulk Filing Enrollment Form


Form
F248-343-000
 
Pharmacy Billing Manual


Manual
F245-433-000
 
Pharmacy Companion Guide


Manual
F245-400-000
 
Physical/Occupational/Massage Therapy Provider Hotline Service Authorization Request


Form
F245-417-000
 
Power of Attorney for Electronic Remittance Advice


Form
F248-355-000
 
Preferred Drug Line Prescription Authorization Request


Form
F245-419-000
 
Provider General Billing Manual


Manual
F245-432-000
 
Provider's Request for Adjustment


Form
F245-183-000
 
Quick Reference Card for Providers


Publication
F245-414-000
 
REFUND NOTIFICATION Refunding Money to L&I to correct your account?


Form
F245-043-000
 
Retraining and Job Modification Billing Manual


Manual
F245-427-000
 
Solicitud de cuenta para proveedores fuera del país


Form
F248-361-999

World Language(s):
Inglés
 
Statement for Compound Prescription


Form
F245-010-000
 
Statement for Home Nursing Services


Form
F248-160-000
 
Statement for Miscellaneous Services


Form
F245-072-000

World Language(s):
Español
 
Statement for Pharmacy Services


Form
F245-100-000
 
Statement for Retraining and Job Modification Services


Form
F245-030-000

World Language(s):
Español
 
Statewide Payee Registration and W-9 Form


Form
F248-036-000
 
UB04 HCFA 1450


Form
F245-367-000
 
Washington Practitioner Application


Form
F245-411-000
 
F245-392-000 Resource Utilization Group (RUG) Residential Care Services for L&I Injured Workers (In place of MDS 3.0 beginning October 1, 2010.)


Form
F245-392-000
 
Hotline Tips for Medical Services Providers


Publication
F248-040-000
 
Medical Payment Guidance


Publication
F248-366-000
 
Provider Network Agreement


Form
F245-397-000
 





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