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Referral Form. AHC02060e(1114) ABN: 50 093 109 490. DVA Provider #: 9713221J Page. 1. of. 1. Author: Frank Byrne Created Date: 12/17/2014 4:21:02 PM ...
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How to fill out dva provider 9713221j page?
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Who needs dva provider 9713221j page?
01
Healthcare providers who wish to provide services to veterans under the Department of Veterans Affairs (DVA) may need to fill out the DVA provider 9713221j page.
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Medical professionals, including doctors, nurses, therapists, and other healthcare practitioners, who want to offer their services to eligible veterans may be required to complete this page.
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It is essential for providers who want to participate in the DVA healthcare network to accurately fill out the 9713221j page to ensure their information is properly recorded, screened, and approved for providing services to veterans.
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What is dva provider 9713221j page?
The DVA Provider 9713221j page is a form used for reporting specific information related to healthcare services provided to veterans.
Who is required to file dva provider 9713221j page?
Healthcare providers who have provided services to veterans and wish to receive reimbursement from the Department of Veterans Affairs (DVA) are required to file the DVA Provider 9713221j page.
How to fill out dva provider 9713221j page?
The DVA Provider 9713221j page can be filled out electronically or manually, depending on the submission method preferred by the healthcare provider. The form requires information such as patient details, services provided, dates of service, and billing information.
What is the purpose of dva provider 9713221j page?
The purpose of the DVA Provider 9713221j page is to accurately report healthcare services provided to veterans in order to receive reimbursement from the Department of Veterans Affairs.
What information must be reported on dva provider 9713221j page?
The DVA Provider 9713221j page requires information such as patient details, services provided, dates of service, and billing information. Specific requirements may vary depending on the type of healthcare service provided.
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