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DEPARTMENT OF SOCIAL SERVICES COVID-19 TESTING REIMBURSEMENT AGREEMENT AND ATTESTATION Healthcare Facility Name: Healthcare Facility Address:Street Address City, State, Zip Conventional Provider Identifier
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The appsdssmogovlongtermcarecovid19invoicespdfdepartment of social services is a form used for submitting invoices related to long-term care services during the COVID-19 pandemic.
Long-term care providers and facilities are required to file the appsdssmogovlongtermcarecovid19invoicespdfdepartment of social services.
To fill out the appsdssmogovlongtermcarecovid19invoicespdfdepartment of social services, providers need to enter detailed information about the services provided and related costs.
The purpose of the appsdssmogovlongtermcarecovid19invoicespdfdepartment of social services is to ensure accurate billing and reimbursement for long-term care services during the COVID-19 pandemic.
Providers must report detailed information about the services provided, dates of service, patient information, and related costs on the appsdssmogovlongtermcarecovid19invoicespdfdepartment of social services.
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