Get the free 71797 PRO NA CARE/CAID 2015 PRO 837I 5010 FFS Claim Submission Guide / ENG
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The Welfare Group of Companies 5010 837I Claims Companion Guide THE WELL CARE GROUP OF COMPANIES EDI TRANSACTION SET 837I X12N HEALTH CARE FFS CLAIM INSTITUTIONAL ASC X12N VERSION 5010×223A2 COMPANION
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Personal details: Provide your full name, date of birth, address, and contact information.
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Employment information: If you are employed, provide details about your current job, including your employer's name, address, and contact information.
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Medical history: Provide information about your current health status, any existing medical conditions, and any medications you are currently taking.
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In summary, filling out the form 71797 pro na carecaid requires providing personal, identification, employment, income, and medical information. This form is necessary for individuals applying for or renewing their coverage under the Medicaid program, which provides essential healthcare coverage to low-income individuals and families.
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What is 71797 pro na carecaid?
71797 pro na carecaid is a form used for reporting information related to a specific carecaid program.
Who is required to file 71797 pro na carecaid?
Providers participating in the carecaid program are required to file 71797 pro na carecaid.
How to fill out 71797 pro na carecaid?
You can fill out 71797 pro na carecaid by providing the required information on the form and submitting it according to the instructions provided.
What is the purpose of 71797 pro na carecaid?
The purpose of 71797 pro na carecaid is to collect and report data necessary for the carecaid program.
What information must be reported on 71797 pro na carecaid?
71797 pro na carecaid requires information such as patient demographics, services provided, and payment details.
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