Board Rule 61(b)(30). Form WC-205. 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 or e-mail directly to the insurer/self-insurer who must fax or e-mail a response within five business days.  Neither the request nor response shall be filed with the Board, unless otherwise requested.

  • Form WC-205/Request for Authorization of Treatment or Testing by Authorized Medical Provider

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