Form FIS0278 Medicaid Clean Claim Report - Michigan

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Form FIS0278 Medicaid Clean Claim Report - Michigan

What Is Form FIS0278?

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 FIS0278?
A: Form FIS0278 is the Medicaid Clean Claim Report specific to Michigan.

Q: What is a Medicaid Clean Claim Report?
A: A Medicaid Clean Claim Report is a document used to report clean claims to Medicaid, which ensures accurate and timely payment.

Q: Who uses Form FIS0278?
A: Form FIS0278 is used by healthcare providers in Michigan to submit clean claims for Medicaid reimbursement.

Q: What is the purpose of Form FIS0278?
A: The purpose of Form FIS0278 is to provide detailed information about a clean claim submitted to Medicaid for reimbursement in Michigan.

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Form Details:

  • Released on April 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 FIS0278 by clicking the link below or browse more documents and templates provided by the Michigan Department of Insurance and Financial Services.

Download Form FIS0278 Medicaid Clean Claim Report - Michigan

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  • Form FIS0278 Medicaid Clean Claim Report - Michigan, Page 1
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