DWC Form 9767.8 Notice of Medical Provider Network Plan Modification - California

DWC Form 9767.8 Notice of Medical Provider Network Plan Modification - California

What Is DWC Form 9767.8?

This is a legal form that was released by the California Department of Industrial Relations - Division of Workers' Compensation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DWC Form 9767.8?
A: DWC Form 9767.8 is a Notice of Medical Provider Network Plan Modification.

Q: What is the purpose of DWC Form 9767.8?
A: The purpose of DWC Form 9767.8 is to notify about a modification in the Medical Provider Network Plan.

Q: Which state does DWC Form 9767.8 apply to?
A: DWC Form 9767.8 applies to California.

Q: What does Medical Provider Network (MPN) refer to?
A: Medical Provider Network (MPN) refers to a network of healthcare providers approved by the California Division of Workers' Compensation.

Q: Why is it important to notify about MPN plan modifications?
A: It is important to notify about MPN plan modifications to ensure that injured workers have access to appropriate medical treatment.

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Form Details:

  • Released on August 1, 2014;
  • The latest edition provided by the California Department of Industrial Relations - Division of Workers' Compensation;
  • 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 DWC Form 9767.8 by clicking the link below or browse more documents and templates provided by the California Department of Industrial Relations - Division of Workers' Compensation.

Download DWC Form 9767.8 Notice of Medical Provider Network Plan Modification - California

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