Quick Reference Fee Card
Non-physician: ARNP, PAC, PhD, PT, and OT must bill using non-physician codes. APF Limits: A network provider may submit up to 6 APFs per worker within the first 60 days of the initial visit date and then up to 4 times per 60 days thereafter. Note: Beyond the initial visit to file the Report of Accident, only network providers can treat
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Self Insurance Claim Adjudication Guidelines
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DEPARTMENT OF LABOR AND INDUSTRIES
lni.wa.govcrime victims. This application is for providers who are: • In-state, non-primary care physicians, such as Physical, Occupational and Massage Therapists, etc. • Facilities such as a DME Supplier, Hospital, Pharmacy, Laboratory, Nursing Home, etc. • Vendors such as Transportation, Schools, On-the-Job Training Sites , etc.
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F625-029-000 WAIVER OF LIEN BY CONTRACTOR, …
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lni.wa.govFull List of Outcome Codes 8 03-2021 Administrative Outcomes Outcome Referral Type * Definition Dispute Rights? ADM1: injured worker is medically unstable VR, AWA, PD, PI The worker is temporarily, medically unable to participate in vocational services for at least 90 days due to the injury. No. ADM2: Pre/post unrelated issues
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Prevailing Wage Intent & Affidavit System
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fppc.ca.govStatement of Organization changes, file an amendment within 10 days of the change with the Secretary of State and local filing officer (if applicable). During the period 16 days before an election, file an amendment within 24 hours as described below. 24-Hour Reporting In addition to the 10-day rule to file an original Form 410: