Application for Prior Approval for Full Payment of Insured Out-of-Country (OOC) & Out-of-Province (OOP) Laboratory & Genetics Testing
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Forms, Links, and Information
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English - 014-4521-84e - Application for Prior Approval for Full...HTML
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French - 014-4521-84f - Application for Prior Approval for Full...HTML
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English - 014-4521-84e - Application for Prior Approval for Full...PDF
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French - 014-4521-84f - Application for Prior Approval for Full...PDF
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List of Ineligible Tests or TestingPDF
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Additional Information
Form Number | 014-4521-84 |
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Title | Application for Prior Approval for Full Payment of Insured Out-of-Country (OOC) & Out-of-Province (OOP) Laboratory & Genetics Testing |
Description | The OOC/OOP PA Program eForm is designed to be completed and submitted electronically for application for prior approval for full payment of insured Out-of-Country (OOC) & Out-of-Province (OOP) laboratory and genetics testing services. English and French versions can be completed online or downloaded and saved for future use. |