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6-Month Child Health Supervision (EPS DT) Visit HT (%) WT (%) HC (%) Patient Sticker NAME DOB DO AGE SEX MED REC# Temp Pulse Meds: Pulse Ox-Optional Resp: Allergies: NKDA Reaction: SENSORY SCREENING:

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What is ch-5doc - okhca?

ch-5doc - okhca is a form used for filing financial information related to the Oklahoma Healthcare Authority.

Who is required to file ch-5doc - okhca?

Healthcare providers participating in the Oklahoma Healthcare Authority programs are required to file ch-5doc - okhca.

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ch-5doc - okhca can be filled out by providing the requested financial information and completing all relevant sections as per the instructions provided.

What is the purpose of ch-5doc - okhca?

The purpose of ch-5doc - okhca is to gather financial data from healthcare providers to ensure compliance with the Oklahoma Healthcare Authority programs and to assess reimbursement eligibility.

What information must be reported on ch-5doc - okhca?

ch-5doc - okhca requires healthcare providers to report financial information such as revenue, expenses, and patient service data.

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