fax and ehrs form

Incentive Voucher In addition to the application, practices must submit an EHR Monetary Incentive Voucher (voucher) to the appropriate payor(s) to request the incentive payment. Payors may request additional information to validate the voucher request. The voucher will include: Copy of the payor's application acknowledgement letter; and Report listing the members of the practice at the time of request; or In cases...
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