Get the free DC DHCF Third Party EVV Addendum v2.1 - dhcf dc
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DC DCF Third Party EVE Addendum v2.1 ___ Addendum to Third Party Alternate EVE System Specification v7.7 San data Technologies, LLC 26 Harbor Park Dr. Port Washington, NY 11050 Toll Free: 8005447263
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How to fill out dc dhcf third party
How to fill out dc dhcf third party
01
Obtain the DC DHCF Third Party Liability (TPL) form from the DC Department of Health Care Finance.
02
Fill in the patient's personal information, including name, date of birth, and Medicaid ID number.
03
Provide details about the third party insurance coverage, such as the policy number and group number.
04
Include any information about other health insurance coverage the patient may have.
05
Sign and date the form, and submit it to the DC Department of Health Care Finance.
Who needs dc dhcf third party?
01
Individuals who have Medicaid coverage in the District of Columbia and also have other health insurance coverage.
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What is dc dhcf third party?
dc dhcf third party is a form used by the District of Columbia Department of Health Care Finance (DHCF) to collect information about third-party liability insurance coverage held by Medicaid beneficiaries.
Who is required to file dc dhcf third party?
Health care providers and entities that provide services to Medicaid beneficiaries are required to file dc dhcf third party.
How to fill out dc dhcf third party?
DC dhcf third party form can be filled out manually or online through the DHCF website. It requires information about the third-party insurance coverage held by the Medicaid beneficiary.
What is the purpose of dc dhcf third party?
The purpose of dc dhcf third party is to help DHCF identify and recover costs that should be paid by third-party insurance companies instead of Medicaid.
What information must be reported on dc dhcf third party?
The form must include information about the Medicaid beneficiary, the third-party insurance coverage, and any claims or payments made by the insurance company.
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