This version of the form is not currently in use and is provided for reference only. Download this version of Form FIS0278 for the current year.
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.
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.
Form Details:
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.