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HP Enterprise Services 3215 Prospect Park Drive Rancho Cordova, CA 956706017 +1 800.541.5555 August 16, 2011, Dear Durable Medical Equipment Provider, Subject: Adjustment of Claims for Taxable and
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12691p16574part2providerletterdoc is a document required by Medi-Cal providers to submit certain information.
All Medi-Cal providers who are requested to submit this specific document.
The document must be filled out accurately with the required information and submitted according to the guidelines provided by Medi-Cal.
The purpose of this document is to gather specific information from Medi-Cal providers for administrative or compliance purposes.
The document may require reporting of provider information, services provided, billing details, and any other relevant data requested by Medi-Cal.
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