Authorization Number : 855-0957
Agency Series No. : PAFF-02
Status : Active
Agency Web Link :
Agency : BWC
Confidential Description : Contains confidential billing and provider information. May contain provider social security and tax identification numbers, medical records, and specific treatment codes for an injured worker.
Division : BWCMSAD
Vital Description :
Section : BWCMSADPAFF
Record Title : Cambridge Adjustment Forms
Revision : 1
Record Description : The Cambridge Adjustment Forms consist of adjustment requests submitted by the Managed Care Organizations (MCO) to adjust bills in the Cambridge billing system.