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SAC AND FOX NATION RAP ASSISTANCE APPLICATIONDENTALFAX: 9189684207 PH: 9189683526 EXT: 2001 EMAIL: sfnrap@sacandfoxnationnsn.gov ADDRESS: 920963 S. Hwy 99 Shroud, OK 74079 RAP APP Form#201101 BC Approved
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The dental revised app 92920pub is a form used by dental professionals to report specific patient data and treatment details for insurance claims and reimbursement purposes.
Dental providers who wish to submit claims for reimbursement to insurance companies must file the dental revised app 92920pub.
To fill out the dental revised app 92920pub, providers should enter patient information, treatment codes, and any relevant notes on the form, ensuring all sections are completed accurately.
The purpose of the dental revised app 92920pub is to facilitate the claims process for dental services rendered, ensuring proper documentation is provided for insurance reimbursement.
The information that must be reported on dental revised app 92920pub includes the patient's personal information, treatment details, procedure codes, and provider information.
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