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North Carolina Department of Health and Human Services Division of Medical Assistance Recipient Services EIS 801 Juggles Drive Hey Building 2nd Floor 2501 Mail Service Center Raleigh, N.C. 276992501
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How to fill out nc dma 3g-1 private
How to fill out nc dma 3g-1 private
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Fill in the details of the private entity for which you are completing the form, such as the name, address, and contact information.
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What is nc dma 3g-1 private?
nc dma 3g-1 private is a form used by the North Carolina Department of Medical Assistance (DMA) for reporting private health insurance information.
Who is required to file nc dma 3g-1 private?
Healthcare providers who accept private health insurance payments are required to file nc dma 3g-1 private.
How to fill out nc dma 3g-1 private?
To fill out nc dma 3g-1 private, healthcare providers need to list the private health insurance information of patients they have provided services to.
What is the purpose of nc dma 3g-1 private?
The purpose of nc dma 3g-1 private is to report private health insurance information for Medicaid reimbursement purposes.
What information must be reported on nc dma 3g-1 private?
Healthcare providers need to report patient name, insurance company name, policy number, and payment amounts on nc dma 3g-1 private.
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