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Payment Activity Report 14-0147 |
14-0147par.pdf |
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Partial Commutation 14-0017 |
14-0017-PartCommPgs1-2.pdf |
|
Original Notice: Vocational Rehabilitation Program Benefit 14-0009 |
14-0009.pdf |
|
Original Notice: Independent Medical Examination 14-0007 |
14-0007imefillable.pdf |
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Original Notice: Application for Alternate Medical Care (85.27) 14-0011 |
14-0011altcarefillable.pdf |
|
Original Notice and Petition Form No. 100 (Fillable) |
14-0005 form100fillable.pdf |
|
Original Notice and Petition Form No. 100 14-0005 |
14-0005 form100fillable.pdf |
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Order Form for Iowa EDI Release 2 Implementation Guide |
ediorderform.pdf |
|
Nonelection of Coverage Form |
14-0175nonelection.pdf |
|
New R3.1 Implementation Guide, Transition Timeline Summary and Test Plan Now Available |
Iowa EDI R3.1 Updates Claims Implementation Guide and Information V1.0 (4-9-18) (1).pdf |
|
Member Report Regarding the AMA Guides, Sixth Edition by John Kuhnlein, D.O. |
kuhnleinreport.pdf |
|
Medical Report Transmittal Form 14-0141 |
14-0141medtransmit.pdf |
|
Mark D. Sloan v Mark D. Sloan, D.D.S., P.C., d/b/a Sloan Family Dentistry, P.C. |
SLOAN,MARK D. Partial Commutation Ruling.pdf |
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March 2002 Update Instructions |
march2002updateinstructions.pdf |
|
March 2002 Iowa Release 2 Implementation Guide |
march2002ediguide.pdf |
|
Letter Regarding AMA Guides, Psychiatric Impairment by James L. Gallagher, M.D. |
jamesgallagher.pdf |
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Law/Ratebook Order Form 2016-2017 |
LawBookOrderForm16-17.pdf |
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John Deere Declaratory Order Regarding Profit Sharing Bonus and Continuous Improvement Pay Plan |
JOHN DEERE Declaratory Order Regarding Profit Sharing Bonus and Continuous Improvement Pay Plan.pdf |
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Issues with Chapter 14, AMA Guides, Sixth Edition - Mental and Behavioral Disorders by John Brooke, Ph.D. |
johnbrooke.pdf |
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Iowa Match Data Table March 17, 2000 |
march2002matchtable.pdf |
|
Iowa Element Requirement Table |
ertmarch2002.pdf |
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Iowa Electronic Data Interchange Claim and Reporting Compliance Handbook July 2001 |
July2001IowaEDIComplianceClaimsHandbook.pdf |
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Iowa Edit Matrix Table |
dec2001emtable.pdf |
|
Iowa Conditional Table |
ictmarch2002.pdf |
|
Iowa Claims Release 3.1 EDI Announcement |
Iowa Claims Release 3.1 EDI Announcement 11-8-17 (1).pdf |
