Get N.c. Dma: Registration Form For April 2011 Basic Medicid Billing ... - Ncdhhs

Filling out the N.C. DMA: Registration Form For April 2011 Basic Medicaid Billing is essential for ensuring your registration for the seminar. This guide will provide you with clear, step-by-step instructions to assist you in completing the form accurately and efficiently.

Follow the steps to complete your registration form online.

1. Click the ‘Get Form’ button to obtain the registration form and open it in your preferred editor.
2. Begin by entering your provider name and discipline in the designated fields. Ensure that your Medicaid Provider Number and NPI Number are accurately filled out as these are crucial for identification.
3. Provide your complete mailing address, including the city and zip code. Be sure to specify the county you are located in.
4. Fill in the contact person's information, including their e-mail and telephone number. This will allow for effective communication regarding your registration.
5. Indicate the number of attendees for the morning session by circling either '1' or '2' next to '1 or 2 person(s) will attend the morning session.'
6. Choose the appropriate afternoon session by circling one of the options: Professional Billing, Institutional Billing, or Dental/Pharmacy Billing.
7. Select the seminar location and date by indicating your preferred option from the list provided, ensuring that it aligns with your availability.
8. After completing all required fields, review your entries for accuracy. Once confirmed, you have the option to save changes, download the form, print it, or share it as needed.

Complete your registration form online today to secure your spot at the seminar!