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This version of the form is not currently in use and is provided for reference only. Download this version of
Form ODM06305
for the current year.
Form ODM06305 Authorization to Post Trading Partner Information - Ohio
What Is Form ODM06305?
This is a legal form that was released by the Ohio Department of Medicaid - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is form ODM06305?
A: Form ODM06305 is an Authorization to Post Trading Partner Information form used in Ohio.
Q: What is the purpose of form ODM06305?
A: The purpose of form ODM06305 is to authorize a trading partner to post information on behalf of the individual or organization.
Q: Who needs to fill out form ODM06305?
A: The individual or organization that wants to authorize a trading partner to post information needs to fill out form ODM06305.
Q: Is form ODM06305 specific to Ohio?
A: Yes, form ODM06305 is specific to Ohio and is used by the Ohio Department of Medicaid.
Q: Is there a fee to submit form ODM06305?
A: There is no fee to submit form ODM06305.
Q: What information is required on form ODM06305?
A: Form ODM06305 requires information such as the person or organization being authorized, the trading partner's name, and contact information.
Q: How long is form ODM06305 valid?
A: Form ODM06305 is valid for one year from the date of submission.
Q: Can I revoke the authorization granted on form ODM06305?
A: Yes, you can revoke the authorization granted on form ODM06305 by submitting a written notice to the Ohio Department of Medicaid.
Form Details:
- Released on November 1, 2017;
- The latest edition provided by the Ohio Department of Medicaid;
- 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 ODM06305 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.
