Forms: For Providers

1199SEIU Funds. Caring for Those who Care for Others.

Forms: For Providers

Provider Resources

Forms For Provider Services

Services Requiring Pre-Authorization

Ambulatory Surgical Procedures
Chiropractic Services(refer to Quick Reference Contact Sheet)
Home Care, Certain Outpatient, DME and RX Services
Hospital Services

Reference Contact Guides

Forms for Authorization

Additional Resources

Submit Your NPI

Using your National Provider Identifier (NPI) simplifies all your Fund transactions, from claims processing to eligibility and referrals.

Do We Have Your National Provider Identifier (NPI)?