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North Carolina
Medicaid Bulletin
An Information Service of the Division of Medical Assistance
Published by EDS, fiscal agent for the North Carolina Medicaid Program
Number 4April 1997Attention: All
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What is attention ambulance providers?
Attention ambulance providers are healthcare professionals or organizations that provide ambulance services to individuals in need of emergency medical transportation.
Who is required to file attention ambulance providers?
Attention ambulance providers are required to be filed by ambulance service providers, hospitals, or other healthcare facilities that utilize ambulance transportation services.
How to fill out attention ambulance providers?
Attention ambulance providers can be filled out by providing information about the ambulance service provider, the patient receiving services, the services rendered, and any other relevant details.
What is the purpose of attention ambulance providers?
The purpose of attention ambulance providers is to document and report the use of ambulance services for billing, reimbursement, and regulatory compliance purposes.
What information must be reported on attention ambulance providers?
Information such as the date of service, the reason for transport, the origin and destination of the transport, the mileage, and the provider's identification number must be reported on attention ambulance providers.
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