60-day FRN - 2900-NEW - Preauthorization & Request for Payment of Bowel & Bladder Services - pub 12152022

60-day FRN - 2900-NEW - Preauthorization & Request for Payment of Bowel & Bladder Services - published 12152022.pdf

Preauthorization and Request for Payment of Bowel and Bladder Services (VA Forms 10-314a and 10-314b)

60-day FRN - 2900-NEW - Preauthorization & Request for Payment of Bowel & Bladder Services - pub 12152022

OMB: 2900-0924