Form WC-194 Request by a Health Care Provider for Case Status Information to File a Medical Fee Dispute Application - Missouri

What Is Form WC-194?

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

FAQ

Q: What is Form WC-194?
A: Form WC-194 is a request by a health care provider for case status information to file a medical fee dispute application in Missouri.

Q: Who can use Form WC-194?
A: Only health care providers can use Form WC-194.

Q: What is the purpose of Form WC-194?
A: The purpose of Form WC-194 is to request case status information in order to file a medical fee dispute application.

Q: What information is required on Form WC-194?
A: Form WC-194 requires information such as the injured worker's name, case number, and the health care provider's contact information.

Q: Is there a fee for submitting Form WC-194?
A: No, there is no fee for submitting Form WC-194.

Q: How long does it take to process Form WC-194?
A: The processing time for Form WC-194 may vary, but it is typically within a few weeks.

Q: What if I need assistance with completing Form WC-194?
A: If you need assistance with completing Form WC-194, you can contact the Missouri Division of Workers' Compensation for guidance.

Q: What happens after submitting Form WC-194?
A: After submitting Form WC-194, the health care provider will receive case status information to proceed with filing a medical fee dispute application.