Get the free Washington DentaQuest Medicaid Provider Agreement
Show details
DentaQuest, LLC Office Reference Manual Please Refer to Your Participation Agreement for Plans You are Contracted Amerigroup of Washington (Updated 11/27/2018)PO Box 2906 Milwaukee, WI 532012906 855.225.2684
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign washington dentaquest medicaid provider
Edit your washington dentaquest medicaid provider form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share your form instantly
Email, fax, or share your washington dentaquest medicaid provider form via URL. You can also download, print, or export forms to your preferred cloud storage service.
Editing washington dentaquest medicaid provider online
To use our professional PDF editor, follow these steps:
1
Register the account. Begin by clicking Start Free Trial and create a profile if you are a new user.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit washington dentaquest medicaid provider. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
The use of pdfFiller makes dealing with documents straightforward. Now is the time to try it!
Uncompromising security for your PDF editing and eSignature needs
Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
How to fill out washington dentaquest medicaid provider
How to fill out washington dentaquest medicaid provider
01
To fill out the Washington Dentaquest Medicaid provider form, follow the steps below:
02
Obtain the provider enrollment application form from the Dentaquest website or contact their customer service.
03
Fill in the necessary personal and professional information, including your name, contact details, and credentials.
04
Provide your National Provider Identifier (NPI) number and Tax Identification Number (TIN).
05
Submit proof of your current licensure and any required certifications.
06
Indicate if you are applying as an individual practitioner or a group practice.
07
Complete the section related to the services you intend to provide, including the types of procedures and treatments.
08
Include any additional documentation requested, such as proof of liability insurance.
09
Review the completed form for accuracy and completeness before submitting it to Dentaquest.
10
Submit the application along with any required fees either online or by mail to the address provided.
11
Wait for Dentaquest to review and process your application. Make sure to follow up if there are any delays or issues.
Who needs washington dentaquest medicaid provider?
01
Washington Dentaquest Medicaid provider is needed by healthcare professionals who wish to provide dental services to Medicaid beneficiaries in Washington state.
02
This includes dentists, dental hygienists, oral surgeons, and other dental specialists who want to participate in the Dentaquest Medicaid program.
03
Medicaid beneficiaries in Washington rely on Dentaquest providers to receive essential dental care at an affordable cost.
04
Patients who qualify for Medicaid, particularly those with limited income or specific health conditions, are the primary beneficiaries.
Fill
form
: Try Risk Free
For pdfFiller’s FAQs
Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.
How do I modify my washington dentaquest medicaid provider in Gmail?
Using pdfFiller's Gmail add-on, you can edit, fill out, and sign your washington dentaquest medicaid provider and other papers directly in your email. You may get it through Google Workspace Marketplace. Make better use of your time by handling your papers and eSignatures.
Can I create an eSignature for the washington dentaquest medicaid provider in Gmail?
It's easy to make your eSignature with pdfFiller, and then you can sign your washington dentaquest medicaid provider right from your Gmail inbox with the help of pdfFiller's add-on for Gmail. This is a very important point: You must sign up for an account so that you can save your signatures and signed documents.
How do I fill out washington dentaquest medicaid provider using my mobile device?
Use the pdfFiller mobile app to fill out and sign washington dentaquest medicaid provider. Visit our website (https://edit-pdf-ios-android.pdffiller.com/) to learn more about our mobile applications, their features, and how to get started.
What is washington dentaquest medicaid provider?
Washington DentaQuest Medicaid Provider is a program that offers dental services to Medicaid recipients in the state of Washington.
Who is required to file washington dentaquest medicaid provider?
Dental providers who are enrolled in the Medicaid program in Washington are required to file Washington DentaQuest Medicaid Provider forms.
How to fill out washington dentaquest medicaid provider?
Dental providers can fill out the Washington DentaQuest Medicaid Provider forms online or through the mail with the required information about the services provided to Medicaid recipients.
What is the purpose of washington dentaquest medicaid provider?
The purpose of Washington DentaQuest Medicaid Provider is to ensure that dental services are properly documented and reimbursed for Medicaid recipients in Washington.
What information must be reported on washington dentaquest medicaid provider?
Information such as the type of dental services provided, dates of service, and Medicaid recipient identification numbers must be reported on Washington DentaQuest Medicaid Provider forms.
Fill out your washington dentaquest medicaid provider online with pdfFiller!
pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.
Washington Dentaquest Medicaid Provider is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
If you believe that this page should be taken down, please follow our DMCA take down process
here
.
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.
