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POM 1202
Third Party Audit
Introduction Third Party Audit is an examination and verification of your
pharmacies prescription records by a Third Party payer to ensure your
pharmacy is compliant with
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How to fill out pom 1202

How to fill out POM 1202:
01
First, ensure that you have access to the POM 1202 form. This form is typically used for reporting payments made to individuals or businesses for services rendered.
02
Begin by entering your name and contact information in the designated fields at the top of the form. This will help identify who is submitting the form.
03
Next, provide the recipient's name, address, and taxpayer identification number (TIN). If the recipient is an individual, their social security number can be used as the TIN. For businesses, it is their employer identification number (EIN).
04
Indicate whether the recipient is an individual or a business entity by checking the corresponding box.
05
Move on to the payment details section. Here, you need to provide a description of the services rendered or goods supplied by the recipient.
06
Enter the payment amount in the appropriate field, making sure to report the total payment made to the recipient.
07
If applicable, provide any necessary backup documentation or explanation for the payment in the space provided.
08
Sign and date the form to certify the accuracy of the information provided.
Who needs POM 1202:
01
Individuals or businesses that make payments to individuals or businesses for services rendered are required to fill out POM 1202.
02
This form is especially essential for entities that need to report these payments to the authorities for tax or regulatory purposes.
03
It helps ensure transparency and compliance with relevant laws and regulations regarding payment reporting.
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