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Take charge of your health. Choose Aetna, Choose Affordable Cover age The information you need to choose quality and affordable health benefits and insurance coverage. 63.43.300.1 (1/11) LEARN ABOUT
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What is choice of provider?
Choice of provider is a form submitted by a claimant to select a workers' compensation medical provider.
Who is required to file choice of provider?
All employees who have a workers' compensation claim are required to file a choice of provider.
How to fill out choice of provider?
Choice of provider form can be filled out by selecting a medical provider from the approved list and submitting the form to the employer or insurance company.
What is the purpose of choice of provider?
The purpose of choice of provider is to allow claimants to select a medical provider for treatment related to their workers' compensation claim.
What information must be reported on choice of provider?
The choice of provider form must include the name and contact information of the selected medical provider.
When is the deadline to file choice of provider in 2023?
The deadline to file choice of provider in 2023 is 30 days from the date of the injury.
What is the penalty for the late filing of choice of provider?
The penalty for late filing of choice of provider can result in the claimant losing the ability to choose their medical provider.
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