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Centurion of Arizona Inmate Billing Instructions *****Effective for Dates of service on or after 7/1/2019Name Inmate ID: *****(must be 6 digits)DOB: Electronic Claims Submission: EDI Payer ID 42140
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How to fill out centurion of arizona inmate

01
Obtain the necessary forms and documents from the Centurion of Arizona Inmate Services office.
02
Fill out the inmate information section of the form, providing accurate details such as the inmate's full name, ID number, and date of birth.
03
Complete the contact information section, including your name, address, and contact number.
04
Provide details about the purpose of the request, whether it's for visitation, correspondence, or any other specific reason.
05
If required, include any additional supporting documents or references in the designated sections of the form.
06
Double-check your completed form for accuracy and completeness.
07
Submit the filled-out form to the Centurion of Arizona Inmate Services office either in person, by mail, or online, as per their specified instructions.

Who needs centurion of arizona inmate?

01
Anyone who has an inmate incarcerated in one of the Arizona state prisons and wishes to establish contact, provide support, or inquire about the inmate's well-being may need the services of Centurion of Arizona Inmate.
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The Centurion of Arizona inmate refers to a specific documentation or registry that provides information regarding inmates in Arizona's correctional facilities, typically used for tracking and management purposes.
Individuals or entities that manage, oversee, or require information regarding inmates, such as correctional facility staff, legal representatives, or authorized personnel, are typically required to file the Centurion of Arizona inmate.
To fill out the Centurion of Arizona inmate, individuals must complete the required sections of the documentation accurately, providing information such as inmate details, charges, and facility location, and then submit it to the appropriate administrative body.
The purpose of the Centurion of Arizona inmate is to maintain an organized and accessible record of inmate information for effective management and legal oversight within Arizona's correctional system.
The information required to be reported on the Centurion of Arizona inmate typically includes the inmate's name, identification number, date of birth, charges, sentencing details, and current facility location.
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