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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 FIS2361
for the current year.
Form FIS2361 Auto Insurance Utilization Review Insurer Reply to Provider Appeal - Michigan
What Is Form FIS2361?
This is a legal form that was released by the Michigan Department of Insurance and Financial Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is a Form FIS2361?
A: Form FIS2361 is a specific document used for Auto Insurance Utilization Review Insurer Reply to Provider Appeal in Michigan.
Q: What is the purpose of Form FIS2361?
A: The purpose of Form FIS2361 is to provide a response to a provider's appeal regarding auto insurance utilization review.
Q: Who uses Form FIS2361?
A: Form FIS2361 is used by insurers in Michigan to reply to a provider's appeal in relation to auto insurance utilization review.
Q: What is an auto insurance utilization review?
A: Auto insurance utilization review is a process used by insurers to evaluate the necessity and appropriateness of medical services.
Q: What should a provider do if they receive Form FIS2361?
A: If a provider receives Form FIS2361, they should review the insurer's reply and determine the next steps for their appeal process.
Form Details:
- Released on August 1, 2021;
- The latest edition provided by the Michigan Department of Insurance and Financial Services;
- 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 FIS2361 by clicking the link below or browse more documents and templates provided by the Michigan Department of Insurance and Financial Services.
