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COUNTY: LOS ANGELES SZ SUITE CITY ZIP CODE PHONE PROVIDER TYPE NAME ADDRESS OCULIST STOLE, JOHN 18455 BURBANK BLVD TARZAN 91356 (818) 7581666 OPTICIAN 20/20 VISION CENTER 1401 W MERCED AVE WEST COVINA
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How to fill out medi-cal fee-for-service vision provider
How to fill out medi-cal fee-for-service vision provider
01
Gather all necessary information and documents, such as your medical records and identification.
02
Visit the Medi-Cal website and search for the fee-for-service vision provider form.
03
Download and print the form, ensuring it is the correct version for your specific needs.
04
Carefully read the instructions provided with the form to understand the requirements and procedures.
05
Fill out the form accurately and provide all requested information, such as your personal details and insurance information.
06
Double-check your form to ensure everything is correctly filled out and all required fields are completed.
07
Attach any supporting documents required, such as medical records or previous insurance information.
08
Make copies of your completed form and all attached documents for your records.
09
Submit the filled-out form and attached documents either by mail or online as instructed on the form.
10
Wait for a response from Medi-Cal regarding your fee-for-service vision provider application.
11
Follow up with Medi-Cal if you do not receive a response within the expected timeframe.
Who needs medi-cal fee-for-service vision provider?
01
Individuals who are eligible for and enrolled in the Medi-Cal program.
02
Individuals who require vision care services and prefer fee-for-service payment options.
03
Individuals who do not have a managed care plan that includes vision services.
04
Individuals who have specific vision care needs that are not covered by their current insurance.
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What is medi-cal fee-for-service vision provider?
Medi-Cal Fee-For-Service Vision Provider is a provider that offers vision-related services to individuals covered by Medi-Cal on a fee-for-service basis.
Who is required to file medi-cal fee-for-service vision provider?
Health care providers who offer vision services to Medi-Cal beneficiaries on a fee-for-service basis are required to file as medi-cal fee-for-service vision providers.
How to fill out medi-cal fee-for-service vision provider?
To fill out as a Medi-Cal Fee-For-Service Vision Provider, providers need to submit the required information and claims for vision services provided to Medi-Cal beneficiaries.
What is the purpose of medi-cal fee-for-service vision provider?
The purpose of the Medi-Cal Fee-For-Service Vision Provider program is to ensure that Medi-Cal beneficiaries have access to vision care services when needed.
What information must be reported on medi-cal fee-for-service vision provider?
Providers must report information such as patient demographics, services provided, diagnosis codes, and billing information on the Medi-Cal Fee-For-Service Vision Provider form.
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