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Form 223 Authorization Request for Medical Treatment / Carrier Response - Utah
What Is Form 223?
This is a legal form that was released by the Utah Labor Commission - a government authority operating within Utah. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 223?
A: Form 223 is the Authorization Request for Medical Treatment/Carrier Response form.
Q: What is the purpose of Form 223?
A: The purpose of Form 223 is to request authorization for medical treatment or to respond to a carrier's decision regarding authorization.
Q: Who uses Form 223?
A: Form 223 is used by medical providers and carriers in Utah.
Q: How do I fill out Form 223?
A: You need to provide information about the injured employee, the medical treatment being requested, and the reasons for the treatment.
Q: What should I do with Form 223 once it is completed?
A: Once you have completed Form 223, you should submit it to the appropriate party as instructed by your medical provider or carrier.
Form Details:
- Released on October 1, 2019;
- The latest edition provided by the Utah Labor Commission;
- 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 Form 223 by clicking the link below or browse more documents and templates provided by the Utah Labor Commission.
Download Form 223 Authorization Request for Medical Treatment / Carrier Response - Utah
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