Last updated: 1/29/2025
Medical Repository Fax Cover Sheet
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Description
MANAGED CARE ORGANIZATION (MCO) MEDICAL REPOSITORY FAX COVER SHEET. This form is used for submitting medical documentation related to a Bureau of Workers' Compensation (BWC) claim to the assigned MCO. It ensures that the documentation is properly directed to the correct claim and avoids multiple requests for the same information. The form is typically used by healthcare providers, detailing the nature of the medical documentation being sent (e.g., medical reports, forms like C-9 or C-84) and includes the injured worker's information, such as claim number, name, and contact details. It is sent exclusively to the MCO, which then forwards the information to BWC. www.FormsWorkflow.com
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