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Get the free DFEC Durable Medical Equipment Authorization Request

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Prior Authorization Request fortifications, DME, AND MEDICAL DEVICES(* Required Field)1 SUBMISSION INFORMATION NamePhoneFaxDate//2 REASON FOR REQUEST Check one×Initial RequestContinuation/Renewal
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How to fill out dfec durable medical equipment

01
Obtain the necessary DFEC durable medical equipment form from the designated source.
02
Fill out the patient's personal information including name, date of birth, and contact information.
03
Provide details about the prescribed medical equipment such as type, quantity, and specific requirements.
04
Include information about the medical provider who prescribed the equipment and their contact information.
05
Sign and date the form to certify its accuracy and completeness.

Who needs dfec durable medical equipment?

01
Individuals who have been prescribed durable medical equipment by their healthcare provider.
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DFEC stands for Division of Federal Employees' Compensation which is a program that provides workers' compensation benefits to federal employees who have been injured or become ill in the course of their employment. Durable medical equipment (DME) refers to equipment such as wheelchairs, walkers, and oxygen tanks that are prescribed by a healthcare provider for use by a patient at home.
Federal employees who have been injured or become ill in the course of their employment and require durable medical equipment are required to file with the Division of Federal Employees' Compensation.
To fill out DFEC durable medical equipment forms, you must provide information about the employee's injury or illness, the prescribed durable medical equipment, and any other relevant medical information.
The purpose of DFEC durable medical equipment is to ensure that federal employees who have been injured or become ill in the course of their employment have access to the necessary equipment to aid in their recovery and daily living.
Information such as the employee's injury or illness, the prescribed durable medical equipment, the healthcare provider's information, and any other relevant medical information must be reported on DFEC durable medical equipment forms.
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