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KS Form OPL-1 2010 free printable template

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Your license or renewal application will not be complete until you provide a form of financial assurance. If at any time during the year the number or depth of your wells increases such that the amount of your required financial assurance increases you must immediately provide the KCC with a revised well inventory and the additional required financial assurance. KANSAS CORPORATION COMMISSION FOR KCC USE ONLY Form OPL-1 August 2010 OIL GAS CONSERVATION DIVISION LICENSE NO EXPIR DATE Form must...
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Individuals or organizations applying for specific services or benefits that require the KS Form OPL-1.
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Claims must be filed within 15 months of the service date or discharge from the hospital.
OPL seeks to have the party ultimately responsible pay the claim.It is our mission to correct the excessive dumping of medical claims on health plans when there are other primary responsible payers. Just because a claim is payable under the health plan does not mean it should be paid, or remain paid.
Other Party Liability (OPL)
Out-Of-Area (OOA)
Payer Name: Blue Cross Blue Shield of Kansas City|Payer ID: 47171|Professional (CMS 1500)

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KS Form OPL-1 is a specific form required for reporting and compliance purposes in a Kansas state regulation framework.
Any individual or entity operating within the Kansas jurisdiction that meets certain criteria set by the state regulations is required to file KS Form OPL-1.
To fill out KS Form OPL-1, individuals must provide necessary identifying information, adhere to the guidelines specified by the Kansas regulatory body, and ensure all relevant data is reported accurately.
The purpose of KS Form OPL-1 is to collect essential operational data for regulatory oversight, compliance verification, and to ensure entities adhere to Kansas state laws.
Information that must be reported on KS Form OPL-1 includes the name and address of the reporting entity, operational details, compliance data, and any other specifics as mandated by Kansas laws.
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