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DFS Case #: PHYSICIANATTESTATIONFORANEXTERNALAPPEAL Thepatientsphysicianmustcompletethisattestationforanyexternalappealofahealthplansdenialofservicesas experimental/investigational;aclinicaltrial;araredisease;outofnetwork;orforanexpeditedappeal.
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EA physician attestation all is a document where a physician declares that a patient is in need of certain medical services or accommodations.
Physicians are required to file EA physician attestation all for their patients.
To fill out EA physician attestation all, the physician must provide the patient's medical information and the reason for needing medical services or accommodations.
The purpose of EA physician attestation all is to certify that a patient requires specific medical services or accommodations.
The physician must report the patient's medical condition, the required medical services or accommodations, and the duration of the need.
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