The DWC Form RFA is not a separately reimbursable report under the Official Medical Fee Schedule, found at California Code of Regulations, title 8, section. |
The requesting provider must complete: (1) the patient's name, date of birth, date of injury, employer, and claim number; (2) the claims administrator's name, ... |
Overview: The Request for Authorization DWC Form RFA is required to initiate the utilization review process required by Labor Code section 4610. The Doctor's ... |
Forms are grouped by relevant subject, then in alphabetical order. Use the arrows to change to reverse alphabetical order or search by form number. |
You may use this form for approving a treatment request. A request for additional information, or a decision to modify, delay, or deny a request for ... |
You may use this form for approving a treatment request. A request for additional information, or a decision to modify, delay, or deny a request for ... |
An updated form for the State of California Division of Workers' Compensation Request for Authorization for Medical Treatment (a.k.a. DWC Form RFA) was released ... |
What is an RFA form? An RFA is a form that the doctor is required to use to request treatment, diagnostic tests or other medical services for an injured worker. |
DWC welcomes your input on the following draft forms. We'd like to know what works for you and what doesn't, so we can make the forms better. Numeric listing of workers... · Formularios · Workers' compensation... |
| Novbeti > |
| Axtarisha Qayit Anarim.Az Anarim.Az Sayt Rehberliyi ile Elaqe Saytdan Istifade Qaydalari Anarim.Az 2004-2023 |