Preauthorization Request for Services for State Fund Workers' Compensation Patients

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Título

Preauthorization Request for Services for State Fund Workers' Compensation Patients

(104 KB DOC)
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 at www.Lni.wa.gov/apps/FeeSchedules/

For complete information on all authorization processes please see:  www.Lni.wa.gov/ClaimsIns/Providers/AuthRef/GetAuth.asp

Detalle
Número del formulario F242-397-000
Disponibilidad Online only
Palabras claves authorization, authorization, preauthorization, preauthorization
Idiomas English
Fechas válidas 01-2014
Contacto Managing Injured Workers' Claims
Páginas de Internet To find out what services must be authorized

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