Get the free 1130 Convenio GES OdontologicoLa Cruz - ssvq.cl

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How to fill out 1130 convenio ges odontologicola

How to fill out 1130 convenio ges odontologicola

1. To fill out the 1130 convenio ges odontologicola, follow these steps:
2. Start by entering the personal information of the patient, including their full name, date of birth, and address.
3. Provide details about the dental treatment being received, such as the diagnosis, proposed treatment plan, and any previous treatment history.
4. Include information about any health insurance coverage the patient may have, as well as the policy number and details.
5. Specify if the patient is a beneficiary of the Ges (Guaranteed Explicit Health Protections) program and provide the corresponding identification number.
6. Indicate if the dental treatment is being performed as part of emergency care or routine treatment.
7. For each dental procedure, enter the corresponding code, description, and quantity of services provided.
8. Include any additional notes or comments that may be relevant to the dental treatment.
9. Review the completed form for accuracy and ensure all required fields are filled out.
10. Sign and date the form, ensuring both the patient and the dental provider sign if required.
11. Make copies of the filled-out form for the patient's records and any necessary submissions.
12. Remember to consult the specific instructions and guidelines provided with the 1130 convenio ges odontologicola form for further clarification.

Who needs 1130 convenio ges odontologicola?

1. The 1130 convenio ges odontologicola form is needed by individuals who require dental treatment under the Ges program in Chile.
2. These individuals may have specific dental health needs that qualify them for coverage under the Ges program.
3. They must meet certain eligibility criteria to access dental care benefits provided by the Ges program.
4. The form helps the dental providers and healthcare administrators properly document and process the dental treatment claim for reimbursement.
5. It is important for both patients and dental providers to understand the requirements and regulations associated with the 1130 convenio ges odontologicola form to ensure accurate and timely processing of dental care services.

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What is 1130 convenio ges odontologicola?

1130 convenio ges odontologicola is a form used to report dental services provided under the Chilean public health system.

Who is required to file 1130 convenio ges odontologicola?

Dentists or dental clinics who provide services under the Chilean public health system are required to file 1130 convenio ges odontologicola.

How to fill out 1130 convenio ges odontologicola?

To fill out 1130 convenio ges odontologicola, dentists or dental clinics need to provide information about the dental services provided, including patient details and treatment codes.

What is the purpose of 1130 convenio ges odontologicola?

The purpose of 1130 convenio ges odontologicola is to ensure that dental services provided under the Chilean public health system are properly recorded and reported.

What information must be reported on 1130 convenio ges odontologicola?

Information such as patient details, treatment codes, and dates of service must be reported on 1130 convenio ges odontologicola.