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Resources - Careworks
Ancillary provider resources
Register for claim status portal
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W9
Letter of agreement
Claims/invoice
Contracts
Certificate of insurance
Patient documents
Other documents
CA MPN Documents
Employee Notification Packet
Employee Notification Packet (Esp)
Continuity of Care Policy
Continuity of Care Policy (Esp)
Transfer of Care Policy
Transfer of Care Policy (Esp)
Tele-Health Policy
Tele-Health Policy (Esp)
Texas HCN Documents
Employee Notice of Network Requirements (English)
Employee Notice of Network Requirements (Spanish)
Out-of-Network Treating Doctor Request Form
Out-of-Network Referral Request
Non-Primary Care Treating Doctor Request
Non-Primary Care Treating Doctor Request Form
Careworks NNR Tracking Log
Complaint Form
Change-of-Network Treating Doctor Request Form
Careworks Certified Counties
Texas Service Area City Map
Workers' Compensation Network Acknowledgement
California UM Documents
California UM Plan
CareLink System Information
SOC-2
Approved Payer List
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