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Results for: Claims and Insurance - Provider Account and Credentialing
Title Number / Language
Add Group Packet - Network Provider Account and Credentialing  F245-449-000 (English)
Approved Independent Medical Examiner (IME) Update  F245-051-000 (English)
Firm Vocational Provider Account Change  F252-022-000 (English)
IME Firm Provider Account Application  F245-451-000 (English)
Individual Vocational Provider Account Change Form  F252-021-000 (English)
L&I Medical Provider Network Credentialing Checklist  F245-445-000 (English)
Network Provider Application Packet  F245-447-000 (English)
Provider Account Application  F248-011-000 (English)
Provider Account Application - Independent Medical Examiner (IME)  F245-046-000 (English)
Provider Network Agreement  F245-397-000 (English)
Provider Payment Account Change Form  F245-365-000 (English)
Provider Supplemental Requirements for Non-Accredited or Unlicensed Training Providers  F280-045-000 (English)
Statewide Payee Registration  F248-036-000 (English)
 F248-036-236 (German)
Submission of Provider Credentials for Interpretive Services  F245-055-000 (English)
Vocational Provider Application  F252-088-000 (English)
Washington Practitioner Application  F245-411-000 (English)





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