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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 FIS0284
for the current year.
Form FIS0284 Clean Claim Report - Michigan
What Is Form FIS0284?
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 the Form FIS0284 Clean Claim Report?
A: The Form FIS0284 Clean Claim Report is a standardized form used in Michigan to report clean insurance claims.
Q: What is a clean claim?
A: A clean claim refers to a claim that is complete and accurate, with all necessary information provided to the insurance company.
Q: Who uses the Form FIS0284 Clean Claim Report?
A: Healthcare providers in Michigan who are submitting clean insurance claims use the Form FIS0284 Clean Claim Report.
Q: Why is the Form FIS0284 Clean Claim Report important?
A: The Form FIS0284 Clean Claim Report ensures that all necessary information is provided to the insurance company, reducing chances of claim denial or delay.
Form Details:
- Released on January 1, 2020;
- 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 FIS0284 by clicking the link below or browse more documents and templates provided by the Michigan Department of Insurance and Financial Services.
