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Department of State Health Services Purchase Order Dispatch via Print Payment Terms Freight Terms Ship Via Net 30 Prepaid & Allow the BEST WAY If advertised by informal bid, Invitation for Offer,

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How to fill out invoice-dshs fiscal claims

01

Fill in the date of service on the top of the invoice.

02

Include the client's name and DSHS Identification Number on the invoice.

03

Itemize all services provided with corresponding codes and fees.

04

Calculate the total amount due for services provided.

05

Include your provider information and contact details for payment remittance.

06

Submit the completed invoice to the DSHS fiscal claims department.

Who needs invoice-dshs fiscal claims?

01

Providers of services covered by DSHS who need to bill for reimbursement.

02

Individuals or organizations contracted with DSHS to provide services to eligible clients.

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What is invoice-dshs fiscal claims?

Invoice-DSHS fiscal claims are requests for payment submitted to the Department of Social and Health Services for reimbursement of expenses incurred in providing services to clients.

Who is required to file invoice-dshs fiscal claims?

Providers of services to clients eligible for Department of Social and Health Services reimbursement are required to file invoice-dshs fiscal claims.

How to fill out invoice-dshs fiscal claims?

Invoice-DSHS fiscal claims can be filled out online through the Department of Social and Health Services' portal or submitted via mail with the required documentation.

What is the purpose of invoice-dshs fiscal claims?

The purpose of invoice-DSHS fiscal claims is to request reimbursement for expenses incurred in providing services to clients eligible for Department of Social and Health Services assistance.

What information must be reported on invoice-dshs fiscal claims?

Invoice-DSHS fiscal claims must include details of the services provided, dates of service, costs incurred, client information, and any supporting documentation.

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