LAC 40:I.2718

LAC 40:I.2718. Utilization Review Forms

Last amended: 2016Year: 2026Length: 17 wordsOfficial source

Cite as La. Admin. Code tit. 40, pt. I, § 2718

A. LWC Form 1010Request of Authorization/ Carrier or Self Insured Employer Response B. LWC Form 1010AFirst Request
LAC 40:I.2718: LAC 40:I.2718. Utilization Review Forms | Justis AI