Form DOH-4401 Tpa / Aso Client List Addendum - Additions - New York

What Is Form DOH-4401?

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

FAQ

Q: What is Form DOH-4401?
A: Form DOH-4401 is a Tpa/Aso Client List Addendum for Additions in New York.

Q: Who needs to fill out Form DOH-4401?
A: This form needs to be filled out by TPA/ASO clients who have additions in New York.

Q: What is the purpose of Form DOH-4401?
A: The purpose of this form is to add new clients to the TPA/ASO client list in New York.

Q: Is Form DOH-4401 mandatory?
A: Yes, if you have new additions to your TPA/ASO client list in New York, filling out this form is mandatory.

Q: Are there any fees associated with Form DOH-4401?
A: There are no fees associated with filling out the Form DOH-4401.

Q: What information do I need to provide on Form DOH-4401?
A: You need to provide information about the new clients being added to the TPA/ASO client list.

Q: Is there a deadline for submitting Form DOH-4401?
A: There is no specific deadline mentioned for submitting Form DOH-4401, but it is recommended to submit it as soon as possible after adding new clients.