Form 470-3747 Iowa Medicaid Point of Sale Agreement - Iowa

Form 470-3747 Iowa Medicaid Point of Sale Agreement - Iowa

What Is Form 470-3747?

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

FAQ

Q: What is the Form 470-3747?
A: Form 470-3747 is the Iowa Medicaid Point of Sale Agreement.

Q: What is the purpose of the Iowa Medicaid Point of Sale Agreement?
A: The purpose of the agreement is to establish a point of sale system for processing Iowa Medicaid claims.

Q: Who needs to fill out the Form 470-3747?
A: The form needs to be filled out by providers who want to participate in the Iowa Medicaid program and process claims through the point of sale system.

Q: Are there any fees associated with the Iowa Medicaid Point of Sale system?
A: Yes, there are fees associated with the use of the point of sale system. Details regarding the fees can be found in the agreement.

Q: What information is required on the Form 470-3747?
A: The form requires information such as provider details, contact information, and agreement terms.

Q: How long does it take to process the Form 470-3747?
A: The processing time for the form may vary. It is recommended to submit the form well in advance to allow for processing.

Q: What happens after the Form 470-3747 is submitted?
A: After the form is submitted, it will be reviewed by the Iowa Medicaid program. If approved, the provider will be able to use the point of sale system to process Medicaid claims.

Q: Can I cancel or terminate the Iowa Medicaid Point of Sale Agreement?
A: Yes, the agreement can be cancelled or terminated. Contact the Iowa Medicaid program for details on the cancellation process.

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Form Details:

  • Released on May 1, 2000;
  • The latest edition provided by the Iowa Department of 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 printable version of Form 470-3747 by clicking the link below or browse more documents and templates provided by the Iowa Department of Human Services.

Download Form 470-3747 Iowa Medicaid Point of Sale Agreement - Iowa

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  • Form 470-3747 Iowa Medicaid Point of Sale Agreement - Iowa, Page 1
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