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23 Wis. Admin. Code WISCONSIN MEDICAID SPECIALIZED MEDICAL VEHICLE TRANSPORTATION TRIP TICKET / MEDICAL CARE VERIFICATION Instructions Type or print clearly. Refer to the Specialized Medical Vehicle Transportation Trip Ticket / Medical Care Verification Completion Instructions F-01050A for information on completing this form. SECTION I PROVIDER INFORMATION 1. Name Specialized Medical Vehicle Company 2. Wisconsin Medicaid Provider Number Eight D...
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What is hfs 10723 wis admin?
Hfs 10723 wis admin is a form used for administrative purposes in the healthcare field.
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The individuals or organizations involved in the administration of healthcare services are required to file hfs 10723 wis admin.
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The specific information that must be reported on hfs 10723 wis admin may vary, but it generally includes details such as healthcare provider information, service statistics, and financial data.
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