Form F800-064-000 Provider's Request for Adjustment - Washington

What Is Form F800-064-000?

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

FAQ

Q: What is Form F800-064-000?
A: Form F800-064-000 is a Provider's Request for Adjustment in the state of Washington.

Q: Who can use Form F800-064-000?
A: This form can be used by healthcare providers in Washington to request adjustments to previously submitted claims.

Q: What is the purpose of this form?
A: The purpose of Form F800-064-000 is to allow healthcare providers to request adjustments to their claims, such as correcting billing errors or requesting reimbursement for denied services.

Q: How should I fill out this form?
A: You should carefully fill out all required sections of Form F800-064-000, providing accurate and detailed information about the adjustment you are requesting.

Q: Is there a deadline for submitting this form?
A: Yes, there is a deadline for submitting Form F800-064-000. The specific deadline may vary depending on your situation, so it is important to refer to the instructions provided with the form.

Q: What should I do after submitting this form?
A: After submitting Form F800-064-000, you should keep a copy for your records and follow any further instructions provided by the Washington State Health Care Authority regarding your adjustment request.