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TREATMENT OR TESTING BY AUTHORIZED MEDICAL PROVIDER WC-205

TREATMENT OR TESTING BY AUTHORIZED MEDICAL PROVIDER WC-205 2026

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The document WC-205 is a form from the Georgia State Board of Workers' Compensation that outlines the process for authorized medical providers to request pre-authorization for treatment or testing of injured employees. While advance authorization is not required for payment, providers can submit this form to insurers/self-insurers, who must respond within 5 business days. If there is no response, the treatment is automatically approved. The document also details the necessary sections to be filled out by both the medical provider and the insurer.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out Section 1, which includes identifying information such as the patient's last name, first name, employer name, and diagnosis. Ensure all fields are completed accurately.
Proceed to Section 2 to request treatment or testing authorization. Enter the ICD-10 and CPT/DRG codes, specify who will provide the treatment, and detail the requested treatment or testing along with the reason for it.
In this section, also include your contact information as the requesting authorized medical provider. Make sure to certify that you have faxed or emailed this form to the insurer/self-insurer.
Finally, review Section 3 where the insurer will respond. This section is not for you to fill out but is crucial for understanding how your request will be processed.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (76 Votes)
2013	4.4 Satisfied (32 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is a WC claim number?

0:11 1:54 Maze. If youve hired an attorney theyll have your claim number on file lawyers are like librariansMoreMaze. If youve hired an attorney theyll have your claim number on file lawyers are like librarians for legal documents.

What happens to medical bills when workers comp is denied?

So, what happens to medical bills when workers comp is denied? If youve been denied, will receive a letter explaining the reasons for the denial. You will be responsible for either taking action to appeal the decision or, you will need to work out how to cover the remaining expenses.

What is WC 1?

WC-1 EMPLOYERS REPORT OF INDUSTRIAL INJURY. NOTE: DO NOT COMPLETE THE SHADED BLOCKS. Every work injury/illness to an employee causing absence for one day or more or which requires medical services other than first aid treatment must be reported within 7 working days after the injury/illness.

What is the maximum medical improvement in workers compensation?

Who Determines When a Person Has docHubed MMI? Your treating doctor is generally the only one who should determine whether you have docHubed maximum medical improvement. However, it is important to note that you have the right to seek multiple opinions about your injuries and how to treat them.

What is a WC 1 form in Georgia?

WC-1 EMPLOYERS FIRST REPORT OF INJURY OR OCCUPATIONAL DISEASE. GEORGIA STATE BOARD OF WORKERS COMPENSATION.

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Is WC mandatory in GA?

How many employees must I have in order to be required to provide workers compensation insurance? If you regularly employ three or more persons in your Georgia business, you are required to provide the benefits. If your company is incorporated or an LLC, the officers or members are included in the employee count.

TREATMENT OR TESTING BY AUTHORIZED MEDICAL PROVIDER WC-205 2026

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