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Commonwealth of Kentucky KY Medicaid Provider Billing Instructions for Rural Health Services Provider Type 35Version 6.9 May 17, 2019Document Change Log Document Date VersionNameComments1.010/14/2005EDSInitial

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How to fill out were made back-to-back and

1. To fill out were made back-to-back, follow these steps:
2. Gather the necessary documents: You will need the original document and a copy of it.
3. Start with the original document: Write all the required information on the original document as instructed.
4. Move on to the back side of the original document: Flip the document over and write the additional information or any further details specified.
5. Complete the first back-to-back side: Ensure that all the required fields are filled out accurately and legibly.
6. Repeat the process for the other side: If there is a second back-to-back side, flip the document over again and fill it out following the same steps as before.
7. Check for errors: Review the filled-out document for any mistakes or missing information.
8. Make a copy of the completed document: Once you are satisfied with the content, make a clear and accurate copy of the filled-out document.
9. Submit the original and copy: Submit the original document along with the copy to the relevant recipient or authority.
10. Keep a record: It's important to keep a record of the filled-out back-to-back document for your own reference.
11. Follow any additional instructions: If there are any additional instructions or guidelines provided, make sure to follow them accordingly.

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The term 'back-to-back' generally refers to transactions or agreements that are executed consecutively without any intervening events. In financial contexts, it often involves two transactions that are mutually dependent.

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