Search Results
Page 51 of 63
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Security Issues
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CPT Codes, Official Connecticut Practitioner Fee Schedule and Billing Guidelines for 1995
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Memorandum - February 17, 1994
Practitioner Fee Schedule and Amended Practitioner Billing and Payment Guidelines
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Memorandum - December 30, 1992
Section 31-284b
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Workers' Compensation Benefit Rate Tables: October 1, 1998 - September 30, 1999
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Memorandum - November 27, 1995
Deposition and Formal Hearing Charges
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Notice to Dependents of Decedents
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Cancellation of Informal Hearings
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Memorandum - July 19, 1995 - 2
Acknowledgments of Physical Condition
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Memorandum - February 3, 1995 - 2
CPT Codes - Official Connecticut Practitioner Fee Schedule
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Application materials for employers to apply to operate a workers' compensation Medical Care Plan, to Self-Insure their workers' compensation liabilities, and to meet Employer Safety & Health Committee requirements.
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Forms : Coverage Election Forms
Forms 6B, 6B-1, and 75, used for certain employees to elect to be covered under the Connecticut Workers’ Compensation Act or when revoking a previous election of such coverage.
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Medical-related forms, including the Authorization for Release of Medical Records, Employee Medical & Work Status, and Physician’s Permanent Impairment Evaluation (42) forms.
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Forms 43, 98, and First Report of Injury (FRI), as well as the state's required "Notice to Employees" to be posted in all employer workplaces in Connecticut.
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Hearing Request (HR), Notification of Appearance (NOA), Hearing Cancellation Request (HC), and Petition for Review (PFR) hearing-related forms.