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Web a form for physicians to submit with health care claims to optum, a health care account administrator. Web a letter of medical necessity (lmn) is a formal document that explains why a specific treatment, product, or. Web learn how cigna healthcare defines medical necessity for physicians and other health care providers in different ways, based on. Web find the form number, title, revision date and other information for many cms forms, including the medical. Web this form is for participants of fsa who want to claim expenses for medical services or products that are not eligible or ineligible. Web medical necessity refers to a decision by your health plan that your treatment, test, or procedure is necessary.