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State of California Division of Workers\' Compensation Provider\'s Request for Second Bill Review California Code of Regulations, title 8, section 9792.5.6The Medical Provider signing below seeks
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Obtain the 979256 providers request form from the appropriate source.
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Who needs 979256 providers request for?

01
Healthcare providers or facilities that need to request services or supplies from a specific provider with the code 979256.

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979256 providers request is for requesting information from healthcare providers regarding services provided.
Healthcare providers are required to file 979256 providers request.
To fill out 979256 providers request, you need to provide detailed information about the services rendered.
The purpose of 979256 providers request is to gather data to ensure proper billing and quality of care.
Information such as patient demographics, services provided, dates of service, and costs must be reported on 979256 providers request.
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