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Physician Certification Request for Expedited Review (Not available for care or services already provided) Illinois Department of Insurance This form is to be completed by the treating physician when the covered person h
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Document Date: 2015-02-19 17:06:45
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File Size: 58,58 KB
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City
National Provider /
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Organization
Illinois Department /
Insurance Office /
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Position
Physician /
treating physician /
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ProvinceOrState
Illinois /
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SocialTag
Health care
Medical ethics
Medical terms
Healthcare in the United States
Medicine
Health
Health insurance