Orthopedic and Neurological Surgeon Quality Pilot: Resources
 

Resources

Reduce Utilization Review Delays

Visit L&I’s Treatment Guidelines for information on how to reduce or avoid Utilization Review Delay’s.


Prescription Management

Why endorse the Washington State Preferred Drug List?
    • Endorsement is required to participate in the Orthopedic and Neurological Surgeon Quality Pilot.
    • Reduces your administrative burden. ( See flow chart.)
    • Authorization is not required to prescribe a non-preferred drug.
Why prescribe preferred drugs in formulary?
    • Reduce your administrative burden.
    • Do not require preauthorization.
    • Patients can get their prescriptions faster.
Who do you call to obtain approval for non-preferred drugs?
    • Preferred Drug List hotline at 1-888-443-6798.
What are the preferred drugs in the therapeutic interchange program?

For more information please visit L&I's Pharmacy Services.
Drug formulary (163 KB PDF).


Reduce Claim Delay

To reduce your claim delays, follow the suggestions below:

    • Put the claim number in the top right corner of all documents.
    • Do not use address stamps that are too large for the form.
    • Send legible documentation.
    • Fully complete the forms.
    • Send reports and chart notes separately from bills.

Fax your documents to L&I, because faxed information goes directly to the claim file. You can use any of these fax numbers:

  • 360-902-4292
  • 360-902-4565
  • 360-902-4566
  • 360-902-4567
  • 360-902-5230
  • 360-902-6100
  • 360-902-6252
  • 360-902-6460

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