Health Service Fee Database Certification Application {WKC-9351} | Pdf Fpdf Docx | Wisconsin

 Wisconsin   Workers Comp 
Health Service Fee Database Certification Application {WKC-9351} | Pdf Fpdf Docx | Wisconsin

Last updated: 7/2/2025

Health Service Fee Database Certification Application {WKC-9351}

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Description

WKC-9351 - HEALTH SERVICE FEE DATABASE CERTIFICATION APPLICATION Use this form to obtain certification of your health service fees database as required by s.102.16(2), Wisconsin Statutes. To be completed by a database company to obtain certification for a health service fee database used for resolving reasonableness of fee disputes. www.FormsWorkflow.com

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