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Commonwealth of Kentucky KY Medicaid Provider Billing Instructions For Ambulatory Surgical Centers Provider Type 36Version 4.8 October 29, 2012Document Change Log Document Date VersionNameComments1.010/14/2005

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What is provider type 36?

Provider type 36 refers to a specific classification assigned to healthcare providers.

Who is required to file provider type 36?

Healthcare providers designated as provider type 36 are required to file.

How to fill out provider type 36?

Provider type 36 needs to be filled out with accurate and detailed information about the healthcare services provided.

What is the purpose of provider type 36?

The purpose of provider type 36 is to categorize and track specific healthcare services.

What information must be reported on provider type 36?

Provider type 36 requires reporting of detailed information about the healthcare services rendered.

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