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Get Ca Dc-204w 2014
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How to fill out the CA DC-204W online
The CA DC-204W form is essential for users participating in the California Medi-Cal Dental (Denti-Cal) Program. This guide provides a clear roadmap for filling out the form accurately and efficiently online.
Follow the steps to complete the CA DC-204W form.
- Click the ‘Get Form’ button to obtain the CA DC-204W form and open it in your preferred digital document management system.
- Begin by entering the billing provider's name in the designated field. This should reflect the name under which services are billed.
- Provide the NPI or billing number accurately. This number is crucial for billing and identification purposes within the Denti-Cal Program.
- Fill in the fax number for submitting reorder requests, ensuring that it is typed correctly to avoid any delays in processing.
- Enter the mailing address of the billing provider, including street address, city, state (CA), and ZIP code. It is important for correspondence and document deliveries.
- Input the telephone number for the billing provider, as this may be required for follow-up communications.
- Review all filled fields for accuracy. Ensuring each section is completed without errors will streamline the processing of your request.
- Once satisfied with the information provided, save your changes, and consider downloading or printing the document for your records or for submission purposes.
Complete your documents online now to ensure efficient processing.
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Payer ID 84099 is designated for specific healthcare claims, particularly in the dental sector. Knowing this ID is vital when submitting claims to ensure they are processed accurately and quickly. When using the CA DC-204W form, keep this payer ID in mind to lessen any possible delays in receiving payment.
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