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This document outlines the findings and conclusions from a hearing regarding the denial of prior authorization for Medicaid payment for an outpatient surgical procedure (arthroscopy of the right shoulder).

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What is medserv-1111 - dhhr?

Medserv-1111 - dhhr is a form used to report medical services provided by healthcare professionals.

Who is required to file medserv-1111 - dhhr?

Healthcare professionals who provide medical services need to file medserv-1111 - dhhr.

How to fill out medserv-1111 - dhhr?

Medserv-1111 - dhhr can be filled out by providing the required information about the medical services provided.

What is the purpose of medserv-1111 - dhhr?

The purpose of medserv-1111 - dhhr is to report and track the medical services provided by healthcare professionals.

What information must be reported on medserv-1111 - dhhr?

Medserv-1111 - dhhr requires reporting of information such as the type of medical service provided, date of service, healthcare professional's details, and patient information.

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