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Form FIS0279 Reportable Medicaid Claims - Michigan
What Is Form FIS0279?
This is a legal form that was released by the Michigan Department of Insurance and Financial Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form FIS0279?
A: Form FIS0279 is a reportable Medicaid claims form used in Michigan.
Q: Who uses Form FIS0279?
A: Form FIS0279 is used by healthcare providers who submit Medicaid claims in Michigan.
Q: What is the purpose of Form FIS0279?
A: The purpose of Form FIS0279 is to report Medicaid claims to the state of Michigan.
Q: Can I submit Medicaid claims without Form FIS0279?
A: No, Form FIS0279 is required to report Medicaid claims in Michigan.
Q: What information is required on Form FIS0279?
A: Form FIS0279 requires information such as patient demographics, provider information, and details of the services provided.
Q: Are there any deadlines for submitting Form FIS0279?
A: Yes, there are specific deadlines for submitting Form FIS0279. Please refer to the instructions on the form or contact the Michigan Medicaid office for more information.
Q: What should I do if I have questions about Form FIS0279?
A: If you have questions about Form FIS0279, you can contact the Michigan Medicaid office for assistance.
Q: Can I submit Form FIS0279 electronically?
A: Yes, Form FIS0279 can be submitted electronically. Please refer to the instructions on the form or contact the Michigan Medicaid office for more information.
Q: Is there a fee for submitting Form FIS0279?
A: No, there is no fee for submitting Form FIS0279 in Michigan.
Form Details:
- Released on September 1, 2019;
- The latest edition provided by the Michigan Department of Insurance and Financial 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 FIS0279 by clicking the link below or browse more documents and templates provided by the Michigan Department of Insurance and Financial Services.
