Submission of Provider Credentials for Interpretive Services

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Title Submission of Provider Credentials for Interpretive Services
Description

Used to apply as a interpretive service provider and to show what language(s) you hold credentials for. F248-011-000 Provider Application and Notice is added to this form.

Document number F245-055-000
How to get this document
Alt Language(s)
Valid dates 01/2013
Contact information Claims for Job Injuries, Employer Services
Related information
Documents

Interpretive Services Appointment Record (ISAR)


Websites For Medical Providers

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