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Please read the instructions carefully before completing ...
owcpmed.dol.govPlease read the instructions carefully before completing authorization request. Complete all applicable fields. All Prior Authorization requests must either be faxed on this template or be submitted through the Web Bill Processing Portal (https://owcpmed.dol.gov). Fax with supporting medical documentation, including the Claimant ID on all pages.
The Florida Bar
www-media.floridabar.orgPLEASE READ THESE IMPORTANT INSTRUCTIONS . Please read all instructions carefully before completing the inquiry/complaint form. If the form is not properly completed it may be returned for correction. You may submit up to a total of 25 pages including the inquiry/complaint form and exhibits.