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State of CaliforniaHealth and Human Services AgencyDepartment of Health Care ServicesWILL LIGHTHOUSE DIRECTORPROVIDER NAME ADDRESS 1 ADDRESS 2 CITY, STATE GAVIN NEWSOM GOVERNOR October 20, 2021, NPI
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Review the reason for the denial of the original submission
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Who needs 31421p43105resubmission of erroneously denied?
01
Individuals or organizations whose original submission was erroneously denied and need to reapply for the same
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What is 31421p43105resubmission of erroneously denied?
31421p43105resubmission of erroneously denied is the process of correcting and resubmitting a claim that was originally denied due to an error.
Who is required to file 31421p43105resubmission of erroneously denied?
Any individual or entity who had a claim denied erroneously is required to file 31421p43105resubmission.
How to fill out 31421p43105resubmission of erroneously denied?
To fill out 31421p43105resubmission, the individual or entity must correct the error that led to the denial, provide any additional information requested, and resubmit the claim according to the guidelines.
What is the purpose of 31421p43105resubmission of erroneously denied?
The purpose of 31421p43105resubmission is to ensure that valid claims are processed correctly and paid out in a timely manner.
What information must be reported on 31421p43105resubmission of erroneously denied?
The corrected information, any additional information requested, and any supporting documentation must be reported on 31421p43105resubmission.
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