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01/28/2020
233805
19MED101165
38895TABLE OF CONTENTS
PAGE
PURPOSE OF AGREEMENT4ARTICLE II RECOGNITION5ARTICLE III THE CITY\'S MANAGEMENT RESPONSIBILITIES6ARTICLE IV UNION REPRESENTATION7ARTICLE V
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What is 19-med-10-1165?
19-med-10-1165 is a medical reporting form used by healthcare providers to submit information related to medical services and billing for Medicaid.
Who is required to file 19-med-10-1165?
Healthcare providers who offer services covered by Medicaid are required to file the 19-med-10-1165 form.
How to fill out 19-med-10-1165?
To fill out 19-med-10-1165, providers should accurately enter details such as patient information, services rendered, and billing codes as instructed in the accompanying guidelines.
What is the purpose of 19-med-10-1165?
The purpose of 19-med-10-1165 is to ensure that accurate and complete medical information is reported for Medicaid services, facilitating proper billing and reimbursement.
What information must be reported on 19-med-10-1165?
Required information includes patient demographics, service dates, procedural codes, diagnosis codes, and provider details.
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