This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form F-00787?
A: Form F-00787 is a Prior Authorization Requirements Exemption Request for Computed Tomography (CT), Magnetic Resonance (MR), and Magnetic Resonance Elastography (MRE) Imaging Services in Wisconsin.
Q: What is the purpose of Form F-00787?
A: The purpose of Form F-00787 is to request an exemption from the prior authorization requirements for CT, MR, and MRE imaging services in Wisconsin.
Q: Who should use Form F-00787?
A: Healthcare providers who perform CT, MR, and MRE imaging services in Wisconsin should use Form F-00787 to request an exemption.
Q: What are CT, MR, and MRE imaging services?
A: CT (Computed Tomography), MR (Magnetic Resonance), and MRE (Magnetic Resonance Elastography) are diagnostic imaging services that use specialized technology to produce detailed images of the body.
Q: Why would someone need an exemption from prior authorization requirements?
A: A healthcare provider may need an exemption from prior authorization requirements if they have a valid reason for not being able to obtain prior authorization for CT, MR, or MRE imaging services.
Form Details:
Download a fillable version of Form F-00787 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.