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Form MEDCO-13A (BWC-3915) Application for Provider Enrollment-Non Certification - Ohio
What Is Form MEDCO-13A (BWC-3915)?
This is a legal form that was released by the Ohio Bureau of Workers' Compensation - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is MEDCO-13A (BWC-3915)?
A: MEDCO-13A (BWC-3915) is an application form used for provider enrollment in Ohio.
Q: What is the purpose of MEDCO-13A (BWC-3915)?
A: The purpose of MEDCO-13A (BWC-3915) is to enroll healthcare providers in Ohio's workers' compensation system.
Q: Who can use MEDCO-13A (BWC-3915)?
A: Healthcare providers who are seeking to be enrolled in Ohio's workers' compensation system can use MEDCO-13A (BWC-3915).
Q: Is MEDCO-13A (BWC-3915) for certification or non-certification?
A: MEDCO-13A (BWC-3915) is for non-certification. It is used when a healthcare provider does not need certification for their services.
Form Details:
- Released on June 14, 2022;
- The latest edition provided by the Ohio Bureau of Workers' Compensation;
- 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 printable version of Form MEDCO-13A (BWC-3915) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.
Download Form MEDCO-13A (BWC-3915) Application for Provider Enrollment-Non Certification - Ohio
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