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Physical/Occupational/Massage Therapy Provider Hotline Service Authorization Request

This form is used by physical, occupational, and massage therapist to request additional visits for injured workers.



Formulario
F245-417-000
 
Hearing Aid Repair/Durable Medical Equipment Provider Hotline Service Authorization Request

This form is used to request repairs to hearing aid or to request the purchase of durable medical equipment (DME).



Formulario
F245-418-000
 
Preauthorization Request for Services for State Fund Workers' Compensation Patients

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



Formulario
F242-397-000
 
Hotline Tips for Medical Services Providers
Fact sheet: Provides tips to help medical service providers quickly obtain answers to claims and billing questions. Introduces L&I's Provider Hotline, Interactive Voice Response Message System and online Claim & Account Center.

Publicación
F248-040-000
 





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