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SEC Form 4UNITED STATES SECURITIES AND EXCHANGE COMMISSIONER 4 Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).OMB Number: hours
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How to fill out flmmis

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Visit the FLMMIS website at flmmis.com.
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Click on the 'Register Now' button to create an account.
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Provide your personal information, such as name, address, and contact details.
04
Choose a username and password for your FLMMIS account.
05
Complete the registration process by submitting the required documents, such as proof of identity and eligibility.
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Once your account is approved, log in to FLMMIS using your credentials.
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Navigate to the 'Forms' section and select the form you need to fill out.
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Read the instructions carefully and enter the required information accurately.
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Save the form and submit it online or by mail, as specified in the instructions.
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Keep a copy of the submitted form for your records.
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If you have any questions or need assistance, contact the FLMMIS support team.

Who needs flmmis?

01
FLMMIS is primarily needed by individuals and families who are eligible for Medicaid or other government-funded healthcare programs.
02
Healthcare providers, such as doctors, hospitals, and clinics, also need to access FLMMIS to verify their patients' eligibility and submit claims for reimbursement.
03
Government agencies responsible for managing healthcare programs and providing benefits also utilize FLMMIS to ensure accurate and efficient administration.
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Florida Medicaid Management Information System (FMMIS) is a system used to manage the Medicaid program in the state of Florida.
Healthcare providers who participate in the Florida Medicaid program are required to file FMMIS claims.
Providers can fill out FMMIS claims online through the secure web portal or through electronic data interchange (EDI).
The purpose of FMMIS is to efficiently manage the Medicaid program in Florida by processing claims, managing patient information, and ensuring compliance with state and federal regulations.
Providers must report patient demographics, services provided, diagnosis codes, and other relevant information on FMMIS claims.
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