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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 F245-183-000
for the current year.
Form F245-183-000 Provider's Request for Adjustment - Washington
What Is Form F245-183-000?
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 Form F245-183-000?
A: Form F245-183-000 is the Provider's Request for Adjustment in the state of Washington.
Q: What is the purpose of Form F245-183-000?
A: The purpose of Form F245-183-000 is for providers to request adjustments to previously submitted claims.
Q: Who can use Form F245-183-000?
A: Form F245-183-000 is used by healthcare providers in the state of Washington.
Q: How do I fill out Form F245-183-000?
A: You need to provide your provider information, details of the original claim, and the reason for the requested adjustment.
Q: Is there a fee for submitting Form F245-183-000?
A: There is no fee for submitting Form F245-183-000.
Q: What should I do after submitting Form F245-183-000?
A: After submitting the form, you should follow up with the department to ensure your request is being processed and to inquire about any additional steps that may be required.
Form Details:
- Released on October 1, 2017;
- 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 F245-183-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.
Download Form F245-183-000 Provider's Request for Adjustment - Washington
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