Form F245-445-000 L&i Medical Provider Network Credentialing Checklist - Washington

Form F245-445-000 L&i Medical Provider Network Credentialing Checklist - Washington

What Is Form F245-445-000?

This is a legal form that was released by the Washington State Department of Labor and Industries - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the Form F245-445-000?
A: The Form F245-445-000 is a checklist for medical providers to apply for credentialing in the L&I Medical Provider Network in Washington.

Q: What is the L&I Medical Provider Network?
A: The L&I Medical Provider Network is a network of providers approved by the Washington State Department of Labor and Industries to provide medical treatment and services for work-related injuries and illnesses.

Q: Who needs to use the Form F245-445-000?
A: Medical providers who wish to become part of the L&I Medical Provider Network in Washington need to use the Form F245-445-000.

Q: What is the purpose of the checklist?
A: The checklist helps medical providers ensure that they have all the necessary information and documentation to apply for credentialing in the L&I Medical Provider Network.

Q: What kind of information and documentation is required?
A: The Form F245-445-000 checklist guides medical providers on the specific information and documentation required for credentialing, such as proof of license, liability insurance, and malpractice history.

Q: What happens after submitting the Form F245-445-000?
A: After submitting the Form F245-445-000 and the required documentation, the application goes through a review process by the Washington State Department of Labor and Industries.

Q: How long does it take to get credentialed?
A: The time it takes to get credentialed in the L&I Medical Provider Network can vary, but it typically takes several weeks.

Q: Can I provide medical treatment for work-related injuries and illnesses without being credentialed?
A: No, to provide medical treatment for work-related injuries and illnesses in Washington, you need to be credentialed in the L&I Medical Provider Network.

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Form Details:

  • Released on March 1, 2021;
  • The latest edition provided by the Washington State Department of Labor and Industries;
  • 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 F245-445-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.

Download Form F245-445-000 L&i Medical Provider Network Credentialing Checklist - Washington

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