Form DOH-4400 Tpa / Aso Election Application - New York

Form DOH-4400 Tpa / Aso Election Application - New York

What Is Form DOH-4400?

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 DOH-4400 Tpa/Aso Election Application?
A: DOH-4400 Tpa/Aso Election Application is a form used in New York for applying for a Third Party Administrator (TPA) or Appointed Service Organization (ASO) election.

Q: Who can use the DOH-4400 Tpa/Aso Election Application?
A: The DOH-4400 Tpa/Aso Election Application can be used by entities in New York that want to apply for TPA or ASO election status.

Q: What is a Third Party Administrator (TPA) or Appointed Service Organization (ASO) election?
A: A TPA or ASO election is a process in which an entity is selected to provide administrative services for a health care plan in New York.

Q: What information is required in the DOH-4400 form?
A: The DOH-4400 form requires information such as the entity's name, contact information, services provided, and a detailed description of the entity's qualifications.

Q: Are there any fees associated with submitting the DOH-4400 form?
A: No, there are no fees associated with submitting the DOH-4400 Tpa/Aso Election Application form in New York.

Q: What is the deadline for submitting the DOH-4400 Tpa/Aso Election Application?
A: The deadline for submitting the DOH-4400 Tpa/Aso Election Application may vary, so it is best to check the instructions on the form or contact the New York State Department of Health (DOH) for the most up-to-date information.

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Form Details:

  • Released on May 1, 2012;
  • The latest edition provided by the New York State Department of Health;
  • 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 printable version of Form DOH-4400 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.

Download Form DOH-4400 Tpa / Aso Election Application - New York

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