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picture1_Excel Data Report Template 32322 | Pt 2020 57 Att2 Ad Hoc Quarterly Pdn Report Template


 135x       Filetype XLSX       File size 0.05 MB       Source: ahca.myflorida.com


File: Excel Data Report Template 32322 | Pt 2020 57 Att2 Ad Hoc Quarterly Pdn Report Template
sheet 1 instructions ad hoc pdn report instructions this is an ad hoc report generated by the agency do not make any entries other than those specified below do not ...

icon picture XLSX Filetype Excel XLSX | Posted on 09 Aug 2022 | 3 years ago

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...Sheet instructions ad hoc pdn report this is an generated by the agency do not make any entries other than those specified below alter template or formulas request should be limited to members receiving rate cell with time period above pertaining service month only that were in same plan for and payment reported rollup data memberproviderif a member has multiple lines provider roll up into one line showing total number of hours requested optional if providers may cap authorized per day managed care information health name enter complete benefit type s quot ltc mma digit medicaid id seven identification reporting quarterly periodin format mmddyyyy submission date submitted following first last contact individual exclude titles sr jr nd etc option was used yes no rolled otherwise tab enrollee full followed nbsp ten birth recipients under age twentyone current years example months old insert region county residence private duty nursing utilization management system provided claims average...
								

							

						
	
												
				
					
					
					
			
					
				
				
		
	

	
		





	

	
				

						

						
							
					 
							
						

						
						
						
				

														
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										Category:  Uncategorized / Uncategorized 
										
Posted on: 09 Aug 2022 | 3 years ago
										
										
Tag:
																																		download xlsx,
																								2020,
																								att2,
																								quarterly,
																								report,
																								template,
											                                        
																				
Filetype: XLSX
										
File size: 0.05 MB
										
Views: 135x
										
Link recommended: filekonstruksi.com
										
										
										
										

										
Uploaded by:
										Andy yahya
											

												Andy yahya