This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form MG-1.1?
A: Form MG-1.1 is a Continuation to Form MG-1, which is used for Attending Doctor's Request for Optional Prior Approval in New York.
Q: What is the purpose of Form MG-1.1?
A: The purpose of Form MG-1.1 is to request optional prior approval from the insurance carrier for medical treatment or services in New York.
Q: Who needs to use Form MG-1.1?
A: Form MG-1.1 is used by the attending doctor to request optional prior approval for medical treatment or services in New York.
Q: What information is required on Form MG-1.1?
A: Form MG-1.1 requires the attending doctor to provide patient information, details of the requested treatment or service, and any supporting documentation.
Q: Is Form MG-1.1 mandatory?
A: Form MG-1.1 is optional and is used to request prior approval for medical treatment or services in New York.
Form Details:
Download a fillable version of Form MG-1.1 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.