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DOC1024 (Rev. 02/2009)DIVISION OF ADULT INSTITUTIONS POLICY AND PROCEDURES DAI Policy #: 500.30.02-Page 1 of 6 Original Effective Date: New Effective Date: 08/01/97 03/01/21 Supersedes: 500.30.02
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DAI 5003002 specialty consultations refer to specific forms or filings required for reporting specialty consultation services provided by healthcare professionals.
Healthcare providers who offer specialty consultations, including but not limited to physicians and specialists, are required to file DAI 5003002.
To fill out DAI 5003002, providers should gather necessary patient information, consultation details, and follow the prescribed format outlined in the filing instructions.
The purpose of DAI 5003002 is to collect data on specialty consultations to ensure proper reporting, reimbursement, and quality control in healthcare services.
Information required includes patient demographics, consultation date, type of specialty service, provider's details, and any relevant medical information.
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