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Form F-11020 Prior Authorization Request for Hearing Instrument and Audiological Services (Pa / Hias1) - Wisconsin
What Is Form F-11020?
This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. Check the official instructions before completing and submitting the form.
FAQ
Q: What is Form F-11020?A: Form F-11020 is the Prior Authorization Request for Hearing Instrument and Audiological Services (Pa/Hias1) in Wisconsin.
Q: What is the purpose of Form F-11020?A: The purpose of Form F-11020 is to request prior authorization for hearing instrument and audiological services in Wisconsin.
Q: Who can use Form F-11020?A: Any individual or healthcare provider in Wisconsin who needs prior authorization for hearing instrument and audiological services can use Form F-11020.
Q: What services does Form F-11020 cover?A: Form F-11020 covers hearing instrument and audiological services in Wisconsin.
Form Details:
- Released on May 1, 2013;
- The latest edition provided by the Wisconsin Department of Health 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 F-11020 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.
