Preauthorization Request for Medical Services (for State Fund Worker's Comp Patients)
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| Título |
Preauthorization Request for Medical Services (for State Fund Worker's Comp Patients) (101KB DOC) |
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| Descripción | This form can only be used for services that can be authorized by the claim manager and it should not be used for Utilization Review (Qualis), Provider Hotline or requests to the Occupational Nurse Consultant. If you are unsure of what services need to be authorized see L&I fee lookup utility. |
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| Detalle | ||
| Número del formulario | F242-397-000 | |
| Disponibilidad | Online only | |
| Palabras claves | authorization, authorization, preauthorization, preauthorization | |
| Idiomas | English | |
| Fechas válidas | 02-2013 | |
| Contacto |
Managing Injured Workers' Claims
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| Páginas de Internet | To find out what services must be authorized | |
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