Preauthorization Check Sheet - Spinal Cord Stimulator / Drg Stimulator, Trial - Wyoming

Preauthorization Check Sheet - Spinal Cord Stimulator / Drg Stimulator, Trial - Wyoming

Preauthorization Check Sheet - Spinal Cord Stimulator/Drg Stimulator, Trial is a legal document that was released by the Wyoming Department of Workforce Services - a government authority operating within Wyoming.

FAQ

Q: What is a preauthorization check sheet?
A: A preauthorization check sheet is a form used to request approval from the insurance company for a specific medical procedure.

Q: What is a Spinal Cord Stimulator/Drg Stimulator?
A: A Spinal Cord Stimulator (SCS) or Dorsal Root Ganglion (DRG) Stimulator is a device used to help manage chronic pain by sending electrical signals to the nerves in the spine.

Q: What is a trial for a Spinal Cord Stimulator/Drg Stimulator?
A: A trial is a temporary placement of the SCS or DRG Stimulator to determine if it effectively reduces a patient's pain before a permanent device is implanted.

Q: Why is a preauthorization necessary?
A: Preauthorization is necessary to ensure that the specific medical procedure, such as a trial for a Spinal Cord Stimulator/Drg Stimulator, is covered by the patient's insurance.

Q: How can I obtain a preauthorization check sheet for a Spinal Cord Stimulator/Drg Stimulator trial in Wyoming?
A: Please contact your healthcare provider or insurance company to obtain the necessary preauthorization check sheet for a Spinal Cord Stimulator/Drg Stimulator trial in Wyoming.

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Form Details:

  • Released on September 1, 2018;
  • The latest edition currently provided by the Wyoming Department of Workforce Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Wyoming Department of Workforce Services.

Download Preauthorization Check Sheet - Spinal Cord Stimulator / Drg Stimulator, Trial - Wyoming

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