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Monthly Fee Schedule and Billing Form Client Name___ Address___ ___ Phone#___ SSN___ Recovery Specialist___Profession MD/DO DMD/DDS PM DVRP D.HARM ODIN CRNA PA NP CNS CNM RT/RCP ACU AA CHIRP SYC OPT
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mngovma-fee-for-servicefee-for-service coverage is a type of fee-for-service coverage offered by the Minnesota Department of Health for healthcare services provided to eligible individuals.
Healthcare providers who have provided services under the mngovma-fee-for-servicefee-for-service coverage program are required to file with the Minnesota Department of Health.
Providers can fill out the mngovma-fee-for-servicefee-for-service coverage forms online through the Minnesota Department of Health's website or by submitting paper forms via mail.
The purpose of mngovma-fee-for-servicefee-for-service coverage is to ensure that healthcare providers are reimbursed for services provided to eligible individuals in Minnesota.
Providers must report details of the services provided, including codes, dates, and charges, as well as patient information such as name, insurance details, and demographics.
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