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Form Approved OMB Number 09350118Expiration Date 12/31/2015MEDICAL EXPENDITURE PANEL SURVEYMEDICAL PROVIDER COMPONENT
CONTACT GUIDEFOROFFICEBASED DOCTORSFORREFERENCE YEAR 2014OMB(Public reporting
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How to fill out medical provider component contact
How to fill out medical provider component contact
01
Start by gathering all the necessary information such as the medical provider's name, address, phone number, and email address.
02
Open the medical provider component contact form or application.
03
Locate the section or fields specifically designated for the contact information of the medical provider.
04
Input the medical provider's name in the designated field.
05
Enter the medical provider's address in the corresponding field, making sure to include all necessary details such as street number, city, state, and zip code.
06
Provide the medical provider's phone number in the appropriate field, ensuring that it is in the correct format.
07
Input the medical provider's email address in the designated field.
08
Double-check all the entered information for accuracy and completeness.
09
Save or submit the filled-out medical provider component contact form or application.
Who needs medical provider component contact?
01
The medical provider component contact information is required by healthcare organizations or systems, medical facilities, and insurance companies.
02
It may be needed for various purposes such as communication, collaboration, referrals, appointment scheduling, claims processing, and compliance with regulatory requirements.
03
Additionally, patients or individuals seeking medical services may also need the medical provider component contact information to get in touch with a specific healthcare provider.
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What is medical provider component contact?
Medical provider component contact is a form that contains contact information of healthcare providers involved in medical treatment.
Who is required to file medical provider component contact?
The healthcare facility or healthcare provider overseeing the medical treatment is required to file medical provider component contact.
How to fill out medical provider component contact?
Medical provider component contact can be filled out by providing the required contact information of the healthcare providers involved in the medical treatment.
What is the purpose of medical provider component contact?
The purpose of medical provider component contact is to ensure that accurate contact information of healthcare providers is available for coordination of medical treatment.
What information must be reported on medical provider component contact?
The information that must be reported on medical provider component contact includes name, address, phone number, and specialty of the healthcare providers.
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