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This version of the form is not currently in use and is provided for reference only. Download this version of
Form CM-893
for the current year.
Form CM-893 Certification of Medical Necessity
What Is Form CM-893?
This is a legal form that was released by the U.S. Department of Labor - Office of Workers' Compensation Programs on April 1, 2018 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form CM-893?
A: Form CM-893 is a Certification of Medical Necessity.
Q: What is the purpose of Form CM-893?
A: The purpose of Form CM-893 is to certify the medical necessity of a procedure or treatment.
Q: Who needs to complete Form CM-893?
A: Form CM-893 needs to be completed by a medical professional or healthcare provider.
Q: When is Form CM-893 required?
A: Form CM-893 is required when seeking insurance coverage for a procedure or treatment.
Form Details:
- Released on April 1, 2018;
- The latest available edition released by the U.S. Department of Labor - Office of Workers' Compensation Programs;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form CM-893 by clicking the link below or browse more documents and templates provided by the U.S. Department of Labor - Office of Workers' Compensation Programs.
Download Form CM-893 Certification of Medical Necessity
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