Revisions to Utilization Review Forms

WSI recently revised several Utilization Review (UR) forms, which a provider should use effective immediately. Revisions include general formatting/ language changes and conversion to a fillable PDF version. Listed below are the updated forms and a summary of any additional revisions:

As a reminder, a provider must complete these forms in their entirety, as WSI will return incomplete forms back to the provider. A provider may contact the UR department at 888-777-5871 with questions on UR form completion and prior authorization requirements.

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