Please fax Requests for Authorization (RFAs) to 1-702-671-7676.
EMPLOYERS Request for Authorization Form
Physicians and Chiropractors Progress Report
For the following states:
California
California Request for Authorization Treatment Request Form (DWC form RFA)
Texas
Fax Genex at 1-800-287-4028
Connecticut, Maine, Massachusetts, New Jersey, New York, Pennsylvania, Rhode Island, Vermont
Requests should be emailed to Arbicare
Email: intake@arbicare.com
Fax: 1-404-631-6387
Phone: 1-800-716-8295