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Washington Physical/Occupational/Massage Therapy Provider Hotline Service Authorization Request

State:
Washington
Control #:
WA-SKU-3801
Format:
PDF
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Description

Physical/Occupational/Massage Therapy Provider Hotline Service Authorization Request
The Washington Physical/Occupational/Massage Therapy Provider Hotline Service Authorization Request is an online service that provides healthcare providers in the state of Washington with an authorization request form to obtain authorization from an insurance carrier for physical, occupational, or massage therapy services. The authorization request is used to obtain prior authorization for services and verify coverage under a patient's health plan. This form is required for all physical, occupational, and massage therapy services performed in Washington state. There are two different types of Washington Physical/Occupational/Massage Therapy Provider Hotline Service Authorization Requests: an Initial Authorization Request and a Reauthorization Request. The Initial Authorization Request is used to obtain authorization from an insurance carrier for a physical, occupational, or massage therapy service at the start of treatment. The Reauthorization Request is used to obtain authorization from an insurance carrier for continued physical, occupational, or massage therapy services.

The Washington Physical/Occupational/Massage Therapy Provider Hotline Service Authorization Request is an online service that provides healthcare providers in the state of Washington with an authorization request form to obtain authorization from an insurance carrier for physical, occupational, or massage therapy services. The authorization request is used to obtain prior authorization for services and verify coverage under a patient's health plan. This form is required for all physical, occupational, and massage therapy services performed in Washington state. There are two different types of Washington Physical/Occupational/Massage Therapy Provider Hotline Service Authorization Requests: an Initial Authorization Request and a Reauthorization Request. The Initial Authorization Request is used to obtain authorization from an insurance carrier for a physical, occupational, or massage therapy service at the start of treatment. The Reauthorization Request is used to obtain authorization from an insurance carrier for continued physical, occupational, or massage therapy services.

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FAQ

General information. Contact the Washington State Department of Labor & Industries for information about agency programs and services in your language at 1-800-547-8367.

VocLink Connect Web Customer Support Email: WebSupport@Lni.wa.gov. Phone: 360-902-5999.

If you remain dissatisfied, you may contact us to request assistance at 360-902-6901. You can also file a dispute electronically at customer service portal.

You can also file a claim form online at or by phone at 1-877-561-FILE (3453).

1045M is used to bill the Standard Functional Capacity Evaluation. When billing for this service: Units of service must be billed.

Workers' compensation claims must be filed within one year of an injury, and within two years of being notified that an illness is work-related. For additional information on Washington State Injury/Illness definitions, see the L&I website.

Contact the Washington State Department of Labor & Industries for information about agency programs and services in your language at 1-800-547-8367. Once you are on the phone, please hold a moment while we call an interpreter to help us.

Billing Assistance For bill underpayment disputes only complete and submit the Self-Insurance Medical Provider Billing Dispute form (F207-207-000), or call L&I's Self-Insurance Section at 360-902-6938.

More info

Therapy Provider Hotline Service. Information about physical, occupational and massage therapy to include authorization, documentation, functional capacity evaluations, and payment.Form Name, Physical-Occupational-Massage Therapy Provider Hotline Service Authorization Request. American Physical Therapy Association. • American Occupational Therapy Association. Contact our authorization review department at (844) 356-4901 to pre-certify all services except outpatient Physical Therapy and Occupational Therapy. Quick Reference Guide. All requests for covered services requiring prior authorization must be submitted to the appropriate UMC for medical necessity determination. To initiate an authorization request beyond the initial number of PT visits, complete the. See the specific codes for affected services.

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Washington Physical/Occupational/Massage Therapy Provider Hotline Service Authorization Request