Form BLS-700-373 Radiology Benefit Manager Registration Addendum - Washington

Form BLS-700-373 Radiology Benefit Manager Registration Addendum - Washington

What Is Form BLS-700-373?

This is a legal form that was released by the Washington State Business Licensing Service - 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 the BLS-700-373 Radiology Benefit Manager Registration Addendum?A: The BLS-700-373 Radiology Benefit Manager Registration Addendum is a form used for registering as a Radiology Benefit Manager in the state of Washington.

Q: Who needs to fill out this form?A: Radiology Benefit Managers who want to operate in the state of Washington need to fill out this form.

Q: What information is required on this form?A: The form requires information such as the applicant's name, contact information, business details, and evidence of compliance with applicable laws and regulations.

Q: What is the purpose of registering as a Radiology Benefit Manager in Washington?A: Registering as a Radiology Benefit Manager in Washington is required by law and ensures compliance with state regulations and oversight of radiology benefit management services.

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Form Details:

  • Released on October 16, 2019;
  • The latest edition provided by the Washington State Business Licensing Service;
  • 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 BLS-700-373 by clicking the link below or browse more documents and templates provided by the Washington State Business Licensing Service.

Download Form BLS-700-373 Radiology Benefit Manager Registration Addendum - Washington

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  • Form BLS-700-373 Radiology Benefit Manager Registration Addendum - Washington, Page 1
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