MFDR Form 19 Provider Request for Medical Fee Dispute Resolution - Oklahoma

What Is MFDR Form 19?

This is a legal form that was released by the Oklahoma Workers Compensation Commission - a government authority operating within Oklahoma. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

• Released on May 1, 2023;
• The latest edition provided by the Oklahoma Workers Compensation Commission;
• Easy to use and ready to print;
• Quick to customize;
• Compatible with most PDF-viewing applications;
• Fill out the form in our online filing application.

Download a fillable version of MFDR Form 19 by clicking the link below or browse more documents and templates provided by the Oklahoma Workers Compensation Commission.