Form 1723 Electronic Visit Verification (Evv) Request for Employer Phone Number(S) - Texas

Form 1723 Electronic Visit Verification (Evv) Request for Employer Phone Number(S) - Texas

What Is Form 1723?

This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 1723?
A: Form 1723 is the Electronic Visit Verification (EVV) Request for Employer Phone Number(s) form.

Q: What is Electronic Visit Verification (EVV)?
A: Electronic Visit Verification (EVV) is a system that electronically verifies and documents the delivery of home healthcare services.

Q: Why is a phone number required on Form 1723?
A: A phone number is required on Form 1723 to ensure that the employer can be contacted for verification purposes.

Q: Who needs to provide their phone number on Form 1723?
A: The employer needs to provide their phone number(s) on Form 1723.

Q: Is Form 1723 specific to Texas?
A: Yes, Form 1723 is specific to Texas.

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Form Details:

  • Released on October 1, 2013;
  • The latest edition provided by the Texas Health and Human 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 1723 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 1723 Electronic Visit Verification (Evv) Request for Employer Phone Number(S) - Texas

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