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Forms & Links
Assignment of Benefits w/EUO Language Print
Written by FCA Insurance & Legal Department   
Friday, 23 April 2010

Here is our sample Assignment of Benefits form which contains EUO language.

Last Updated ( Friday, 23 April 2010 )
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LOP Practice Tips Print
Written by FCA Insurance & Legal Department   
Thursday, 06 August 2009
Our insurance and legal liaison office gets many calls requesting a sample Letter of Protection (LOP).  We do not provide a sample, as there are many variables and these are specific to the doctor and each specific case.  We do, however, offer the following tips from an article published in the April/May/June 2009 issue of the FCA Journal, written by attorney Ken Abele.
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PIP Checklist Print
Written by FCA Insurance & Legal Department   
Tuesday, 07 July 2009

What documents must you submit with an initial PIP claim?  Here is our PIP Checklist that you may use to ensure that your claims submittals are correct and complete.

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Treatment Plan Print
Written by FCA Insurance & Legal Department   
Tuesday, 28 April 2009

When is a Treatment Plan required?

Last Updated ( Tuesday, 28 April 2009 )
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PIP Tips Print
Written by FCA Insurance & Legal Department   
Thursday, 15 January 2009
This four page quick reference is a combination of answers from previous FAQ articles and additional questions received on a daily basis from FCA members. We encourage you to use this convenient resource to help as you approach the many unknowns that result from a statute that has not yet been fully interpreted by the courts. 
Last Updated ( Thursday, 15 January 2009 )
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More...
  • PIP Fact Sheet
  • Who do I send the demand letter to?
  • PIP Patient Treatment Log
  • Optional PIP Forms
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