LEAVE REQUEST FORM/AUTHORIZATION - United States Navy

40.32 - Payment for Medically Necessary Services Ordered or Prescribed by an Opt-out physician or Practitioner 40.33 - Mandatory Claims Submission 40.34 - Cancellation of Opt-Out 40.35 - Early Termination of Opt-Out 40.36 - Appeals 40.37 - Application to the Medicare Advantage Program 40.38 - Claims Denial Notices to Opt-Out Physicians and ... ................
................