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Form Approved OMB Number 0935-0118 Expiration Date 01/31/2013 MEDICAL EXPENDITURE PANEL SURVEY MEDICAL PROVIDER COMPONENT CONTACT GUIDE FOR HOME CARE PROVIDERS FOR REFERENCE YEAR 2011 OMB STATEMENT
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Medical provider component contact refers to the contact information of a healthcare provider or organization, such as a hospital or clinic, that is involved in the medical services being provided.
Healthcare providers or organizations that are part of the medical service delivery system are generally required to file medical provider component contact. This includes hospitals, clinics, physicians, and other healthcare professionals.
To fill out medical provider component contact, you typically need to provide the necessary contact information of the healthcare provider or organization. This includes details such as the name, address, phone number, and other relevant contact details.
The purpose of medical provider component contact is to ensure effective communication and coordination between different healthcare providers and organizations involved in the medical service delivery system. It helps streamline the referral process, patient management, and overall healthcare coordination.
The information reported on medical provider component contact generally includes the name of the healthcare provider or organization, their address, phone number, email address, and any other relevant contact information. Additionally, information about the specific services they provide and their role in the medical service delivery system may also be included.
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