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Form INS5036 Part B Standardized Credentialing Form: Agency / Program / Organization Providers - Ohio
What Is Form INS5036 Part B?
This is a legal form that was released by the Ohio Department of Insurance - a government authority operating within Ohio.The document is a supplement to Form INS5036, Standardized Credentialing Form - Part B: Agency/Program/Organization Providers. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form INS5036?
A: Form INS5036 is the Standardized Credentialing Form.
Q: What does Part B of Form INS5036 cover?
A: Part B of Form INS5036 covers Agency/Program/Organization Providers in Ohio.
Q: Who are considered Agency/Program/Organization Providers?
A: Agency/Program/Organization Providers refer to entities that provide services or programs in Ohio.
Q: What information does Part B of Form INS5036 require from Agency/Program/Organization Providers?
A: Part B of Form INS5036 requires various information such as the agency's name, address, contact information, services provided, and other details about the organization.
Q: Why is Form INS5036 important?
A: Form INS5036 is important for credentialing agencies to gather standardized information from providers and ensure compliance with regulations.
Form Details:
- Released on February 1, 2021;
- The latest edition provided by the Ohio Department of Insurance;
- 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 INS5036 Part B by clicking the link below or browse more documents and templates provided by the Ohio Department of Insurance.
Download Form INS5036 Part B Standardized Credentialing Form: Agency / Program / Organization Providers - Ohio
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