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As Filed (Provider Version) Status: X Desk Reviewed Revised Desk Reviewed Field Audited DEPARTMENT OF HUMAN RESOURCES DIVISION OF MEDICAL ASSISTANCE 2015 FEDERALLY QUALIFIED HEALTH CENTER 1. Name
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Start by obtaining the as filed provider version form. This form can usually be found on the official website of the relevant organization or institution.
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Read the instructions provided on the form carefully. Make sure you understand what information is required and how it should be filled out.
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Begin by entering your personal information, such as your name, contact details, and any identification numbers that may be required.
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Proceed to provide the necessary details about your role or profession as a provider. This may include information about your education, certifications, and experience.
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Take your time to accurately fill out any sections that require you to provide specific information about your practice or services. This can include details about the types of services you offer, your specialization, or any additional credentials you may have.
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If there are any sections that you are unsure about or require clarification, reach out to the relevant organization or institution for guidance. It is important to provide accurate information to ensure that your as filed provider version is complete.

Who needs as filed provider version:

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Healthcare professionals: Medical practitioners, such as doctors, nurses, and therapists, may need to fill out an as filed provider version as part of their licensing or enrollment process with insurance companies or healthcare networks.
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Educational institutions: Teachers, professors, or other educators may be required to complete an as filed provider version when applying for teaching positions or when seeking accreditation from educational boards or organizations.
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Service providers: Individuals or businesses offering specialized services, such as legal or accounting services, may need to provide an as filed provider version to demonstrate their qualifications and expertise in their field.
In summary, the as filed provider version form is necessary for individuals in various professions who need to provide accurate information about their qualifications and services. The process of filling out the form involves carefully following instructions, providing accurate personal and professional details, and seeking guidance when needed.
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As filed provider version is a specific version of a document or report that has been submitted in its original form without any modifications or alterations.
Anyone who is required to submit a document or report to a regulatory body or authority may be required to file the as filed provider version.
To fill out the as filed provider version, simply submit the original document or report without making any changes or edits.
The purpose of the as filed provider version is to provide a transparent and unaltered version of a document or report for regulatory or compliance purposes.
All information that was included in the original document or report must be reported on the as filed provider version.
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Relevant keywords

2016 2015 NPI DMA FQHC FALSIFICATION MISREPRESENTATION Reimbursement FEDERALLY applicable Nonprofit CERTIFICATION Proprietary CERTIFY Audited Medicaid PUNISHABLE Specify accompanying Audit Revised Provider INTENTIONAL accordance Administrator IMPRISONMENT

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