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Medical Benefits Precertification Process/ Decision Point Review Plan:
• DPR Plan effective 11/15/17
• DPR Plan effective 9/1/17
• DPR Plan effective 4/17/17
• NJPLIGA Conditional Assignment of Benefits
• Uniform Attending Provider Treatment Plan Form
• PIP Pre-Service Appeals Form
• PIP Post-Service Appeals Form
• Surgery Precertification Request for NJ No Fault Claims Form
• Find a NJ Auto Voluntary Network Provider
• Find a Workers' Compensation Provider
• Find a Pharmacy Provider
• National Correct Coding Initiative Edits
2016 Annual Report
2016 Recoupment Order
Phico Insurance Company In Liquidation
Pennsylvania Insurance Dept.
Statutory Liquidator 1 Phico Drive
Mechanicsburg,
PA
17055-0720
Supporting Documents
Order of Insolvency
Public Notice
Stay Order