Form DOH-485 Workers' Compensation Preferred Provider Organization (Ppo) Application - New York

What Is Form DOH-485?

This is a legal form that was released by the New York State Department of Health - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of Form DOH-485?
A: Form DOH-485 is used to apply for Workers' Compensation Preferred Provider Organization (PPO) in New York.

Q: What is a Workers' Compensation Preferred Provider Organization (PPO)?
A: A PPO is a network of healthcare providers who have agreed to provide medical services to injured workers covered by Workers' Compensation insurance.

Q: Who should use Form DOH-485?
A: Healthcare providers who want to become a Workers' Compensation Preferred Provider Organization (PPO) in New York should use this form.

Q: Is there a fee to submit Form DOH-485?
A: Yes, there is a fee associated with submitting the form. Please refer to the instructions or contact the New York State Department of Health for more information.

Q: What information is required on Form DOH-485?
A: The form requires information about the healthcare provider, including contact details, provider type, services offered, and any existing contract with an insurance carrier.

Q: Are there any additional documents required with Form DOH-485?
A: Yes, you may be required to submit supporting documents such as proof of licensure, accreditation, or certification.

Q: How long does it take to process Form DOH-485?
A: The processing time may vary, but it typically takes several weeks. You can contact the New York State Department of Health for an estimated processing time.

Q: Can I appeal if my Form DOH-485 is denied?
A: Yes, if your application is denied, you have the right to appeal the decision. Contact the New York State Department of Health for more information on the appeals process.