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MBC/SIDS PARTICIPATING PROVIDER ORGANIZATION APPLICATION P. O BOX 9005 Benbrook, New York 115639005 5163965501 Fax: 5163965594 MANAGEMENT BENEFITS FUND DENTAL PPO DENTIST INFORMATION Name LIC No.
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How to fill out mbfsids participating provider organization

01
Step 1: Gather all necessary information and documents such as provider identification number, contact information, practice details, and demographic information.
02
Step 2: Access the MBFSIDS participating provider organization application form online.
03
Step 3: Fill out the application form accurately and completely, following the provided instructions.
04
Step 4: Double-check all the information provided to ensure its accuracy and completeness.
05
Step 5: Submit the filled-out application form along with any required supporting documents.
06
Step 6: Wait for the MBFSIDS participating provider organization application to be reviewed and processed.
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Step 7: If approved, you will receive confirmation of your participation and any additional information or credentials needed.
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Step 8: Begin accessing and providing services as an MBFSIDS participating provider organization.

Who needs mbfsids participating provider organization?

01
Healthcare organizations and providers who plan to participate in the MBFSIDS (Medical Billing Fraud Strike Force Identification System) program.
02
Organizations looking to combat billing fraud, waste, and abuse in the healthcare industry.
03
Providers who want to ensure their credibility and legitimacy when billing for services.
04
Entities interested in expanding their services and network within the MBFSIDS program.
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The mbfsids participating provider organization is a network of healthcare providers who have agreed to participate in a specific healthcare program.
Healthcare providers who are part of the mbfsids participating provider organization are required to file their information.
To fill out the mbfsids participating provider organization, healthcare providers need to provide detailed information about their practice, services offered, and contact details.
The purpose of the mbfsids participating provider organization is to create a network of healthcare providers who can work together to provide comprehensive care to patients.
Information such as provider name, address, contact information, specialties, and services offered must be reported on the mbfsids participating provider organization.
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