Form MG-1.1 Continuation to Form Mg-1, Attending Doctor's Request for Optional Prior Approval - New York

Form MG-1.1 Continuation to Form Mg-1, Attending Doctor's Request for Optional Prior Approval - New York

What Is Form MG-1.1?

This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form MG-1.1?A: Form MG-1.1 is a Continuation to Form MG-1, which is used for Attending Doctor's Request for Optional Prior Approval in New York.

Q: What is the purpose of Form MG-1.1?A: The purpose of Form MG-1.1 is to request optional prior approval from the insurance carrier for medical treatment or services in New York.

Q: Who needs to use Form MG-1.1?A: Form MG-1.1 is used by the attending doctor to request optional prior approval for medical treatment or services in New York.

Q: What information is required on Form MG-1.1?A: Form MG-1.1 requires the attending doctor to provide patient information, details of the requested treatment or service, and any supporting documentation.

Q: Is Form MG-1.1 mandatory?A: Form MG-1.1 is optional and is used to request prior approval for medical treatment or services in New York.

ADVERTISEMENT

Form Details:

  • Released on April 1, 2018;
  • The latest edition provided by the New York State Workers' Compensation Board;
  • 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 MG-1.1 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Form MG-1.1 Continuation to Form Mg-1, Attending Doctor's Request for Optional Prior Approval - New York

4.5 of 5 (12 votes)
  • Form MG-1.1 Continuation to Form Mg-1, Attending Doctor's Request for Optional Prior Approval - New York

    1

  • Form MG-1.1 Continuation to Form Mg-1, Attending Doctor's Request for Optional Prior Approval - New York, Page 2

    2

  • Form MG-1.1 Continuation to Form Mg-1, Attending Doctors Request for Optional Prior Approval - New York, Page 1
  • Form MG-1.1 Continuation to Form Mg-1, Attending Doctors Request for Optional Prior Approval - New York, Page 2
Prev 1 2 Next
ADVERTISEMENT