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JURISDICTION 15 PART A
CLERICAL ERROR REOPENING ADJUSTMENT REQUEST FORM
Check all that applyKentuckyOhioDateMSPContactPROVIDER INFORMATION
Provider Nameless 5 digits of Tax ID NumberBilling PLAN NumberBilling
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How to fill out clerical error reopening adjustment
How to fill out clerical error reopening adjustment
01
Gather all relevant documentation showing the clerical error that needs to be reopened.
02
Complete the necessary forms provided by the appropriate department or agency.
03
Submit the forms and documentation to the designated person or office for review.
04
Follow up on the status of the reopening adjustment request if necessary.
Who needs clerical error reopening adjustment?
01
Individuals or entities who have identified a clerical error in a previous adjustment.
02
Those who believe that a previous adjustment was incorrectly processed or calculated.
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What is clerical error reopening adjustment?
Clerical error reopening adjustment is a process to correct mistakes made in a previous filing by reopening and amending the original document.
Who is required to file clerical error reopening adjustment?
Any individual or organization that has made a clerical error in a previous filing is required to file a clerical error reopening adjustment.
How to fill out clerical error reopening adjustment?
To fill out a clerical error reopening adjustment, one must gather all relevant information about the mistake, complete the necessary forms, and submit the corrected information to the appropriate authority.
What is the purpose of clerical error reopening adjustment?
The purpose of clerical error reopening adjustment is to ensure that inaccuracies in previous filings are corrected in a timely manner, preventing any potential negative consequences.
What information must be reported on clerical error reopening adjustment?
The information that must be reported on a clerical error reopening adjustment includes details of the mistake, the original filing that needs to be corrected, and the corrected information.
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