Electronic Billing Authorization
| Información del documento | ||
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| Título |
Electronic Billing Authorization (Un formulario electrónico)- 32 KB PDF) |
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| Descripción | To authorize L&I to accept electronically submitted bills for services provided to injured workers (2 pages). |
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| Detalle | ||
| Número del formulario | F248-031-000 | |
| Disponibilidad | Online only | |
| Palabras claves | billing, bills, Direct Entry, provider | |
| Idiomas | English | |
| Fechas válidas | 12-2011 | |
| Contacto |
Fee Schedules
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| Páginas de Internet | For Medical Providers | |