Get the free Part 204: Dental Services - medicaid ms
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Administrative Code Title 23: Medicaid Part 204 Dental Services Table of Contents Title 23: Division of Medicaid ...................................................................................................
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How to fill out part 204 dental services
How to fill out part 204 dental services:
01
Begin by accessing the official form for part 204 dental services. This form can typically be found on the website of the relevant dental services authority or regulatory body.
02
Provide your personal information, such as your name, contact details, and any identification numbers or credentials required.
03
Clearly indicate the dental services you will be providing or seeking reimbursement for. Include detailed descriptions, codes, and any supporting documentation, such as treatment plans or invoices.
04
Specify the date or time period during which the dental services were rendered.
05
If applicable, provide information regarding any other healthcare providers involved in the treatment process, such as referring dentists or specialists.
06
Double-check all the information you have entered to ensure its accuracy and completeness.
07
Submit the completed part 204 dental services form to the designated authority or agency, following their specific instructions for submission.
08
Keep a copy of the filled-out form for your records.
Who needs part 204 dental services:
01
Individuals who are licensed dental practitioners seeking reimbursement for the dental services they have provided to patients may need to fill out part 204 dental services.
02
Dental service providers who have entered into agreements with insurance companies, government health programs, or other third-party payers may also need to complete this form for billing purposes.
03
Patients or dental service recipients may come across part 204 dental services when reviewing their insurance claims or seeking reimbursement from their insurance providers. Although they may not be directly involved in completing the form, they should be aware of its existence and understand its significance in the context of their dental care.
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