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3. Immediate Service Area. For the purposes of this policy AEHN s immediate service area is defined as those zip codes that comprise the primary and secondary service areas of Albert Einstein Medical Center. 4. Self-Pay Patient. Those patients who are uninsured patients as defined below and who are not eligible for Charity Care. ALBERT EINSTEIN HEALTHCARE NETWORK POLICY AND PROCEDURE MANUAL Page 1 of 1 Subject Charity Care PURPOSE Albert Einstein...
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How to fill out Einstein Healthcare Network W9:

01
Obtain a blank copy of the W9 form from the Einstein Healthcare Network.
02
Fill in your business name, address, and taxpayer identification number (TIN) in the designated fields.
03
Indicate your business entity type (i.e., individual/sole proprietor, corporation, partnership, etc.) in box 3.
04
Provide your exemption codes, if applicable, in box 4.
05
Include any backup withholding information in box 5 if you are subject to this requirement.
06
Indicate whether you are participating in FATCA (Foreign Account Tax Compliance Act) by checking the appropriate box in Part 1.
07
Review the certification statement in Part 2 and sign and date the form.
08
Submit the completed W9 form to the designated recipient at the Einstein Healthcare Network.

Who needs Einstein Healthcare Network W9:

01
Any individual or business entity that provides services to the Einstein Healthcare Network and is required to report income or payments to the Internal Revenue Service (IRS).
02
This includes independent contractors, freelancers, consultants, and vendors who receive compensation from the network for their services.
03
It is also necessary for any entity that is required to fulfill tax reporting obligations.
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The Einstein Healthcare Network W9 is a form used to request the taxpayer identification number (TIN) of a vendor or independent contractor. It is used for reporting purposes, such as when the healthcare network needs to issue a 1099-MISC form.
Any vendor or independent contractor who provides services to the Einstein Healthcare Network and receives payments of $600 or more in a year is required to file an Einstein Healthcare Network W9 form.
To fill out the Einstein Healthcare Network W9 form, you need to provide your name, business name if applicable, address, taxpayer identification number (TIN), and other relevant information. The form can be downloaded from the official IRS website.
The purpose of the Einstein Healthcare Network W9 is to collect the necessary information from vendors and independent contractors to report their payments accurately to the IRS. It ensures compliance with tax regulations and helps prevent tax evasion.
The Einstein Healthcare Network W9 requires vendors and independent contractors to report their name, business name (if applicable), address, taxpayer identification number (TIN), and certification of FATCA status, among other relevant information.
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