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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 FIS2356
for the current year.
Form FIS2356 Auto Insurance Utilization Review Provider Appeal Request - Michigan
What Is Form FIS2356?
This is a legal form that was released by the Michigan Department of Insurance and Financial Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form FIS2356?
A: Form FIS2356 is an Auto Insurance Utilization Review Provider Appeal Request specifically for Michigan.
Q: What is the purpose of Form FIS2356?
A: The purpose of Form FIS2356 is to request an appeal for a utilization review decision made by an auto insurance provider in Michigan.
Q: Who can use Form FIS2356?
A: This form can be used by individuals or providers in Michigan who want to appeal a utilization review decision made by an auto insurance provider.
Q: How do I fill out Form FIS2356?
A: To fill out Form FIS2356, you will need to provide your personal information, details about the utilization review decision you are appealing, and any supporting documentation.
Form Details:
- Released on August 1, 2021;
- The latest edition provided by the Michigan Department of Insurance and Financial Services;
- 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 FIS2356 by clicking the link below or browse more documents and templates provided by the Michigan Department of Insurance and Financial Services.
Download Form FIS2356 Auto Insurance Utilization Review Provider Appeal Request - Michigan
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