Form preview

Get the free Provider number: 155238

Get Form
09/18/2023PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign provider number 155238

Edit
Edit your provider number 155238 form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your provider number 155238 form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing provider number 155238 online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use our professional PDF editor, follow these steps:
1
Sign into your account. In case you're new, it's time to start your free trial.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit provider number 155238. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Save your file. Select it in the list of your records. Then, move the cursor to the right toolbar and choose one of the available exporting methods: save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud.
With pdfFiller, dealing with documents is always straightforward. Try it now!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out provider number 155238

Illustration

How to fill out provider number 155238

01
Start by gathering all the necessary information related to provider number 155238.
02
Carefully review the form or application where you need to fill out the provider number.
03
Look for the field or section specifically designated for the provider number.
04
Enter the provider number 155238 in the appropriate field.
05
Double-check the accuracy of the entered number to avoid any mistakes.
06
Complete the rest of the form or application as required.
07
Once everything is filled out, review the entire form for any errors or missing information.
08
Make sure to follow any specific submission instructions provided.
09
Submit the form or application with the filled out provider number 155238.
10
Keep a copy of the submitted form or application for your records.

Who needs provider number 155238?

01
Any individual or organization that requires the specific services or information associated with provider number 155238 may need it.
02
It could be healthcare providers, insurance companies, government agencies, or any other entity involved in the healthcare system.
03
Exact requirements and purposes may vary, so it's best to consult the specific guidelines or regulations related to provider number 155238.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.5
Satisfied
57 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Once your provider number 155238 is complete, you can securely share it with recipients and gather eSignatures with pdfFiller in just a few clicks. You may transmit a PDF by email, text message, fax, USPS mail, or online notarization directly from your account. Make an account right now and give it a go.
With pdfFiller, it's easy to make changes. Open your provider number 155238 in the editor, which is very easy to use and understand. When you go there, you'll be able to black out and change text, write and erase, add images, draw lines, arrows, and more. You can also add sticky notes and text boxes.
Create your eSignature using pdfFiller and then eSign your provider number 155238 immediately from your email with pdfFiller's Gmail add-on. To keep your signatures and signed papers, you must create an account.
Provider number 155238 is a unique identifier assigned to a healthcare provider for billing and identification purposes within insurance systems.
Healthcare providers, including hospitals, clinics, and individual practitioners, are required to file provider number 155238 when submitting claims to insurance companies.
To fill out provider number 155238, include the number in the designated provider identification section of the billing form and ensure all accompanying details match with the registered provider information.
The purpose of provider number 155238 is to uniquely identify healthcare providers within the billing system, enabling accurate processing of insurance claims and payments.
Information that must be reported includes the provider's name, specialty, address, and the provider number itself, along with any relevant patient and service details.
Fill out your provider number 155238 online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.