Form FA-37 Service Center Authorization Form for Providers - Nevada

Form FA-37 Service Center Authorization Form for Providers - Nevada

What Is Form FA-37?

This is a legal form that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form FA-37?
A: Form FA-37 is the Service Center Authorization Form for Providers in Nevada.

Q: What is the purpose of Form FA-37?
A: The purpose of Form FA-37 is to authorize service centers to provide services on behalf of providers in Nevada.

Q: Who needs to fill out Form FA-37?
A: Providers in Nevada who want to authorize service centers to provide services on their behalf need to fill out Form FA-37.

Q: Is there a fee for submitting Form FA-37?
A: There is no fee for submitting Form FA-37.

Q: What information is required on Form FA-37?
A: Form FA-37 requires information such as the provider's name, service center details, and the services to be provided.

Q: How long does it take to process Form FA-37?
A: The processing time for Form FA-37 may vary, but it typically takes a few weeks.

Q: What should I do if there are changes to the authorized service centers?
A: If there are changes to the authorized service centers, a new Form FA-37 must be submitted.

Q: Is Form FA-37 specific to providers in Nevada?
A: Yes, Form FA-37 is specific to providers in Nevada.

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Form Details:

  • Released on January 27, 2014;
  • The latest edition provided by the Nevada Department of Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form FA-37 by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.

Download Form FA-37 Service Center Authorization Form for Providers - Nevada

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  • Form FA-37 Service Center Authorization Form for Providers - Nevada, Page 1
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