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Kansas Medical Assistance Program P O Box 3571 Topeka, KS 666013571 Provider 18009336593 Beneficiary 18007669012 HARD COPY ATTACHMENT Paper Attachment to Electronic Claim 1. Provider Number 2. Beneficiary
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How to fill out hard copy attachment
How to fill out hard copy attachment:
01
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Sign and date the hard copy attachment in the designated areas, if required. Follow any additional instructions provided for submitting the attachment, such as filing in person or mailing it to a specific address.
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If you have any further questions or are unsure about any aspect of filling out the hard copy attachment, consult the issuing authority or seek guidance from relevant professionals.
Who needs hard copy attachment:
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Overall, the specific individuals or entities who need hard copy attachments will depend on the context and requirements of the situation or application process. It is important to carefully follow any instructions provided and provide the necessary attachments as requested.
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What is hard copy attachment?
Hard copy attachment refers to physical documents that need to be submitted along with an electronic filing.
Who is required to file hard copy attachment?
Individuals or entities specified by the governing body or organization.
How to fill out hard copy attachment?
The hard copy attachment should be completed by hand or typed, following the guidelines provided by the governing body.
What is the purpose of hard copy attachment?
The purpose of hard copy attachment is to provide additional supporting documentation or information that cannot be included in electronic filings.
What information must be reported on hard copy attachment?
Specific information required for the particular filing, such as signatures, notarizations, or original documents.
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