This is a legal form that was released by the California Department of Social Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form NA825?
A: Form NA825 is the Notice of Action - Payment Adjust Transportation form.
Q: What is the purpose of Form NA825?
A: The purpose of Form NA825 is to adjust payment for transportation services in California.
Q: Who needs to use Form NA825?
A: Form NA825 is used by transportation service providers in California.
Q: Is Form NA825 mandatory?
A: Yes, if you are a transportation service provider in California, you must use Form NA825 to adjust payment.
Q: What information is required on Form NA825?
A: Form NA825 requires information such as provider details, claim details, and adjustment information.
Q: Are there any deadlines for submitting Form NA825?
A: Yes, you must submit Form NA825 within a specific timeframe specified by the California Department of Healthcare Services.
Q: What should I do if I need help filling out Form NA825?
A: If you need assistance with Form NA825, you can contact the California Department of Healthcare Services for guidance.
Form Details:
Download a fillable version of Form NA825 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.