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Forms and templates library
Editable forms and templates for your practice.
Do You Need that Perfect Form for Your Practice?
The following forms are researched, flexible, accurate, and easily tailored to your practice needs. ICS members in good standing can download, edit, and continue to utilize these forms and templates for FREE in their offices throughout their membership lives (please see licensing terms and conditions below). Downloading is an easy one-step process – When you select to download a form below, we will take you to your account and automatically download the form.
Click on the form name or the + to expand the category listing. Once expanded, you will find a link to the various forms and templates along with a link to an article that explains how to use the linked form. Jump to your needed category by clicking a category button here:
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Assignment and Designation of Authorized Representative
Template Assignment and Designation of Authorized Representative Explanation ERISA Letters and Requests
Form Assignment and Designation of Authorized Representative Explanation Template Letter of Appeal Post Service Claim - Lack of Medical Necessity Insufficient information Provided by Plan to Respond Explanation Template Request for Summary Plan Description Explanation Template Request for Summary Plan Description Explanation Template Request to legal department or request to forward to legal Explanation Template Letter of Appeal Post Service Claim - Lack of Medical Necessity Sufficient Information Provided by Plan to Appeal Explanation Template Letter of Appeal Post Service Claim - Plan Exclusion Request for Summary Plan Description Only Explanation Template Letter of Appeal Pre-Service Claim - Lack of Medical Necessity Insufficient information Provided by Plan to Respond Explanation Template Request for Summary Plan Description Explanation Template Request to Legal Department or Request to Forward to Legal Explanation Resource Important Definitions and Resources Explanation MEDICARE ADVANCED BENEFICIARY NOTICE
Form Advance Beneficiary Notice of Noncoverage ABN - English Explanation Form Explanation Form Advance Beneficiary Notice of Noncoverage ABN - Spanish Explanation Resource Form Instructions Advance Beneficiary Notice of Noncoverage Explanation 