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Certificate of Medical Necessity Forms | UMWA Funds

    https://www.umwafunds.org/certificate-of-medical-necessity-forms/
    The following forms are the most commonly used forms to request durable medical and respiratory equipment and supplies. If you do not see the form you are looking for or …

Medical Justification - UMWAFunds.org

    https://www.umwafunds.org/wp-content/uploads/2020/08/Medical-Justification.pdf
    UMWA Health and Retirement Funds Medical Justification P.O. Box 99002 Durable Medical Equipment and Respiratory Equipment Lubbock, TX 79490-9002 ... Signature …

Forms | UMWA Funds

    https://www.umwafunds.org/forms/
    The list of forms below includes two of the most common medical forms used by physicians, hospitals and other facilities. It also includes other forms, such as for eye …

Justification Form - f92jamstackassets-sthr.azureedge.net

    https://f92jamstackassets-sthr.azureedge.net/%24web/sthr/assets/Justification_Form_8ad309e612.pdf
    Justification Form UMWA patients only Patient Name: _____ Date of Birth: _____ ... Other (CIC or IIC justification and / or technology level): ... Justifcation Form Author: Julie …

The Funds | UMWA Health and Retirement Funds

    https://www.umwafunds.org/
    UMWA Health and Retirement Funds, or “The Funds,” provides health and pension benefits for retired coal miners and their dependents. Visit UMWAFunds.org to learn more about …

Medical Plans Benefits | UMWA Funds

    https://www.umwafunds.org/medical-plans-benefits/
    Medical Plan Benefits Overview. The Funds provide health benefits for services which are reasonable and necessary for the diagnosis, treatment of an illness or injury and which …

Medical Management & Pre-Certification | UMWA Funds

    https://www.umwafunds.org/billing-claims/medical-management-pre-certification/
    UMWA Health and Retirement Funds PO BOX 292167 Nashville, TN 37229. Telephone: 1-800-292-2288 Fax: 1-800-382-7792. You should pre-certify Inpatient hospital stays, …

Forms - UMWA

    https://umwa.org/for-locals/forms/
    Below are some forms for UMWA Local Union Officers: Membership Reporting Form for Additions, Corrections and Deletions – Form L-004 Financial Secretary’s Record Card – …

Durable Medical Equipment Network (DME) | UMWA Funds

    https://www.umwafunds.org/provider-networks/durable-medical-equipment-network-dme/
    Vendor: Phone Number: American Home Patient (AHP) 1-877-956-9458: Appalachian Regional Healthcare: 1-800-446-6322: Community Home Care Services: 1-800-965-7448

Medicare Part B Requirements | UMWA Health Benefits

    https://www.umwafunds.org/medical-plans-benefits/medicare-part-b-requirements/
    The Funds has a special arrangement with the Medicare program. Your Medicare Part B services will be paid by the Funds. Your doctors can call the Provider Customer Service …



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