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Board Rule 203 Payment Of Medical Expenses Procedure When Amount Of Expenses Are Disputed

(a) Medical expenses shall be limited to the usual, customary and reasonable charges as found …

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Board Rule 61b30 Form Wc205 Request For Authorization Of Treatment Or Testing By Authorized Medical Provider

Authorized medical providers seeking approval for treatment or testing shall send this form by facsimile …

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Board Rule 61b13 Form Wc20amedical Report

This report and/or the HCFA 1500, HCFA 1450, and/or UB92 shall be completed and filed …

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Board Rule 61b30 Form Wc205request For Authorization Of Treatment Or Testing By Authorized Medical Provider

Authorized medical providers seeking approval for treatment or testing shall send this form by facsimile …

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Board Rule 61b13 Form Wc20a Medical Report

This report and/or the HCFA 1500, HCFA 1450, and/or UB92 shall be completed and filed …

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