English - 014-4521-84e - Application for Prior...
Dataset 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) &...
Additional Information
| Last updated | July 17, 2023 |
|---|---|
| Created | July 17, 2023 |
| Format | HTML |
| Form Number | https://www.sus.gov.on.ca/lc/content/mgcs/profiles/default.html?contentRoot=repository:///Applications/014-4521-84/1.0/Assets&template=014-4521-84E.xdp&submitUrl=https://localhost:12443/rest/services/014-4521-84/Processes/HTML/SubmitForm&lang=E&submitServiceProxy=https://www.sus.gov.on.ca/sub-proxy/all&maxAttachmentSize=12 |
| Form File Identifier | 4521-84E |
| Name | English - 014-4521-84e - Application for Prior Approval for Full Payment of Insured Out-of-Country (OOC) & Out-of-Province (OOP) Laboratory & Genetics Testing |
| Form File Status | Available |
| Description | |
| Language | English |
| Functionality | Fill, Print, and Submit |
| Form File Content Type | Form |
| Remark | |
| Edition Date | 2023-05 |