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SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH CHILD HEALTH AND DISABILITY PREVENTION (CHIP) PROGRAMWinterSpring 20172018 DENTAL REFERRAL DIRECTORY MEDICAL (IDENTICAL)18003226384 REFERRAL TO IDENTICAL
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How to fill out govbeneficiariesdenti-calproviderreferrallist
How to fill out govbeneficiariesdenti-calproviderreferrallist
01
Obtain an application form for the Govbeneficiaries Denti-Cal Provider Referral List.
02
Fill out the form completely with accurate information.
03
Include any required documents or information requested on the form.
04
Submit the completed form to the appropriate government agency or office.
Who needs govbeneficiariesdenti-calproviderreferrallist?
01
Individuals who are beneficiaries of the Denti-Cal program and are looking for a list of approved providers for dental services.
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What is govbeneficiariesdenti-calproviderreferrallist?
govbeneficiariesdenti-calproviderreferrallist is a list of healthcare providers that accept Medi-Cal beneficiaries.
Who is required to file govbeneficiariesdenti-calproviderreferrallist?
Healthcare providers who accept Medi-Cal beneficiaries are required to file govbeneficiariesdenti-calproviderreferrallist.
How to fill out govbeneficiariesdenti-calproviderreferrallist?
govbeneficiariesdenti-calproviderreferrallist can be filled out online through the Medi-Cal website or submitted by mail with the required information.
What is the purpose of govbeneficiariesdenti-calproviderreferrallist?
The purpose of govbeneficiariesdenti-calproviderreferrallist is to provide Medi-Cal beneficiaries with a list of healthcare providers who accept their insurance.
What information must be reported on govbeneficiariesdenti-calproviderreferrallist?
govbeneficiariesdenti-calproviderreferrallist must include the healthcare provider's name, address, contact information, and the services they provide.
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