Form FIS2326 Treating Provider Certification for Experimental / Investigational Denials - Michigan

What Is Form FIS2326?

This is a legal form that was released by the Michigan Department of Insurance and Financial Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form FIS2326?
A: Form FIS2326 is the Treating Provider Certification for Experimental/Investigational Denials in Michigan.

Q: What is the purpose of Form FIS2326?
A: The purpose of Form FIS2326 is to certify that the treatment provided to a patient is not considered experimental or investigational.

Q: Who needs to complete Form FIS2326?
A: The treating provider, who is responsible for the patient's care, needs to complete Form FIS2326.

Q: What information is required on Form FIS2326?
A: Form FIS2326 requires the treating provider's information, patient's information, description of the treatment, and certification that the treatment is not experimental or investigational.

Q: Are there any fees associated with Form FIS2326?
A: There are no fees associated with Form FIS2326.

Q: What happens after Form FIS2326 is completed?
A: After Form FIS2326 is completed, it is submitted to the relevant health plan or insurance company for review and determination of coverage.

Q: Can the use of Form FIS2326 guarantee coverage for a treatment?
A: No, the use of Form FIS2326 does not guarantee coverage for a treatment. The health plan or insurance company will make the final determination based on their coverage policies.

Q: Is Form FIS2326 specific to Michigan?
A: Yes, Form FIS2326 is specific to Michigan and is used for experimental/investigational denial certification in the state.

Q: Can I appeal a denial based on experimental/investigational treatment?
A: Yes, if a treatment is denied as experimental or investigational, you have the right to appeal the decision through the health plan or insurance company's appeals process.