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State Form 18487 Application for Adjustment of Claim for Provider Fee - Indiana
What Is State Form 18487?
This is a legal form that was released by the Indiana Workers' Compensation Board - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is State Form 18487?
A: State Form 18487 is an application for the adjustment of claim for provider fee in Indiana.
Q: What is the purpose of State Form 18487?
A: The purpose of State Form 18487 is to request an adjustment of claim for provider fee.
Q: Who can use State Form 18487?
A: State Form 18487 can be used by providers in Indiana who need to request an adjustment of claim for provider fee.
Q: What information is required on State Form 18487?
A: State Form 18487 requires information such as the provider's name, contact information, claim details, and reasons for requesting the adjustment.
Q: Are there any fees associated with filing State Form 18487?
A: The application itself does not mention any fees. However, it's always a good idea to check with the relevant department or agency for any potential fees.
Q: How long does it take to process State Form 18487?
A: The processing time for State Form 18487 may vary. It is recommended to contact the relevant department or agency for an estimate.
Form Details:
- Released on January 1, 2015;
- The latest edition provided by the Indiana Workers' Compensation Board;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of State Form 18487 by clicking the link below or browse more documents and templates provided by the Indiana Workers' Compensation Board.
