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KS Form OPL-1 2020 free printable template

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KANSAS CORPORATION COMMISSIONER KCC USE Uniform OPL1 June 2018OIL & GAS CONSERVATION DIVISIONLICENSE NO:Form must be Typed Form must be Signed All blanks must be Filled LICENSE APPLICATIONEXPIR DATE:Notice:
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KS Form OPL-1 Form Versions

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How to fill out KS Form OPL-1

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How to fill out KS Form OPL-1

01
Begin by downloading the KS Form OPL-1 from the official website or obtain a physical copy.
02
Fill in your personal information at the top of the form, including your name, address, and contact details.
03
Provide the relevant details of the organization or entity you are representing, if applicable.
04
Carefully read the instructions included with the form and ensure you comply with any specific requirements.
05
Fill in the appropriate sections by carefully following the guidance provided, making sure to provide accurate and complete information.
06
Review the entire form for any errors or omissions before submitting.
07
Sign and date the form where indicated to certify that the information is correct.
08
Submit the completed form through the specified method (online, mail, or in-person), as instructed.

Who needs KS Form OPL-1?

01
KS Form OPL-1 is required by individuals or organizations applying for permits, licenses, or approvals pertinent to their operations and activities.
02
It is often needed by businesses, non-profit organizations, or governmental entities that need to comply with certain regulatory processes.
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Claims must be filed within 15 months of the service date or discharge from the hospital.
OPL seeks to have the party ultimately responsible pay the claim.It is our mission to correct the excessive dumping of medical claims on health plans when there are other primary responsible payers. Just because a claim is payable under the health plan does not mean it should be paid, or remain paid.
Other Party Liability (OPL)
Out-Of-Area (OOA)
Payer Name: Blue Cross Blue Shield of Kansas City|Payer ID: 47171|Professional (CMS 1500)

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KS Form OPL-1 is a specific form used for reporting operational and financial information related to certain businesses or organizations operating in a specific jurisdiction.
Businesses and organizations that meet specific criteria established by the regulatory authority or jurisdiction where they operate are required to file KS Form OPL-1.
To fill out KS Form OPL-1, the filer should gather all necessary financial and operational data, follow the instructions provided with the form, and accurately complete each section as required.
The purpose of KS Form OPL-1 is to ensure compliance with regulatory requirements by providing necessary financial and operational data to the authorities.
KS Form OPL-1 typically requires information such as financial statements, operational metrics, business activities, and other relevant data that reflects the organization's performance.
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