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REVENUE RATE CHANGE REQUEST Provider Enrollment Branch MS 4704 P.O. Box 997413 Sacramento, CA 958997413 (916) 3231945 Hospital name Provider number Date Address (number, street) City State ZIP code REVENUE
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What is Provider Enrollment Branch - filesaccepttest medi-cal ca Form?

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Provider enrollment branch is a division within a healthcare organization that manages the process of enrolling providers into the network.
Healthcare providers who wish to participate in a specific network are required to file provider enrollment branch.
Providers can fill out provider enrollment branch forms online or through a paper application, providing all necessary information and documentation.
The purpose of provider enrollment branch is to ensure that all providers meet the necessary qualifications and credentials to participate in a healthcare network.
Providers must report their personal information, medical licenses, certifications, and any additional required documentation on provider enrollment branch forms.
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