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Form H1052-IME Notice of Delay in Decision for Incurred Medical Expense - Action Needed - Texas
What Is Form H1052-IME?
This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form H1052-IME?
A: Form H1052-IME is a Notice of Delay in Decision for Incurred Medical Expense.
Q: What does Form H1052-IME require?
A: Form H1052-IME requires action to be taken.
Q: In which state is Form H1052-IME used?
A: Form H1052-IME is used in Texas.
Q: What is the purpose of Form H1052-IME?
A: The purpose of Form H1052-IME is to notify about a delay in decision for incurred medical expense.
Q: What should I do if I receive Form H1052-IME?
A: If you receive Form H1052-IME, you need to take the necessary action as specified.
Form Details:
- Released on June 1, 2019;
- The latest edition provided by the Texas Health and Human Services;
- Easy to use and ready to print;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form H1052-IME by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
