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MAIL CODE 40102B DEPARTMENT OF ENVIRONMENTAL PROTECTION Reset Form DIVISION OF WATER QUALITY BUREAU OF SURFACE WATER AND PRETREATMENT PERMITTING P.O. BOX 420, 401 E. STATE ST. TRENTON, NEW JERSEY
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Gather all relevant information and documentation related to the situation that prompted the need for an SIU determination request.
02
Fill out the SIU determination request form completely and accurately with all necessary details.
03
Include any supporting evidence or documentation that may help in the review process.
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Submit the completed SIU determination request form along with any additional materials to the appropriate authorities or organization.

Who needs siu determination request?

01
Insurance companies
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Law enforcement agencies
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Healthcare providers
04
Fraud investigators
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A SIU determination request is a formal application submitted to a Special Investigations Unit to ascertain if certain activities qualify for investigations related to fraud or abuse.
Typically, insurers, healthcare providers, and organizations that suspect fraud or need clarification on claims and billing practices are required to file a SIU determination request.
To fill out a SIU determination request, provide complete information concerning the case, including details on the suspected fraud, related parties, and any evidence or documentation supporting the inquiry.
The purpose of a SIU determination request is to seek guidance and obtain a formal determination from the Special Investigations Unit regarding potential fraud or the legitimacy of specific claims.
The request must report information including the nature of the suspected fraud, the parties involved, relevant dates, and any available supporting evidence or documentation.
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