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Commonwealth of Kentucky KY Medicaid Provider Billing Instructions for Licensed Behavioral Analyst Provider Type 63 Version 2.1 March 8, 2023Document Change Log VersionDateNameComments1.012/23/2015Vicky
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How to fill out provider type 63
01
Obtain the provider application form for type 63.
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What is provider type 63?
Provider type 63 refers to a specific category or classification of healthcare provider.
Who is required to file provider type 63?
Only healthcare providers falling under the category of provider type 63 are required to file.
How to fill out provider type 63?
Provider type 63 can be filled out by submitting the required information through the designated filing system.
What is the purpose of provider type 63?
The purpose of provider type 63 is to accurately categorize and track different types of healthcare providers for regulatory and reporting purposes.
What information must be reported on provider type 63?
Provider type 63 may require reporting of specific details such as provider identification, services offered, patient demographics, etc.
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