Bowel and Bladder Services Preauthorization Form

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

OMB: 2900-0924

IC ID: 256604

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Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability


 

   
 
  

  Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
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