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Form 272PDN FFS I Request for Service Authorization for Diagnostic Imaging - New Hampshire
What Is Form 272PDN FFS I?
This is a legal form that was released by the New Hampshire Department of Health and Human Services - a government authority operating within New Hampshire. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 272PDN FFS I?
A: Form 272PDN FFS I is a request forservice authorization for diagnostic imaging.
Q: What is the purpose of Form 272PDN FFS I?
A: The purpose of Form 272PDN FFS I is to request authorization for diagnostic imaging services.
Q: Who can use Form 272PDN FFS I?
A: Form 272PDN FFS I can be used by healthcare providers in New Hampshire to request service authorization for diagnostic imaging.
Q: Is Form 272PDN FFS I specific to New Hampshire?
A: Yes, Form 272PDN FFS I is specific to New Hampshire.
Q: Is there a fee for submitting Form 272PDN FFS I?
A: There is no fee for submitting Form 272PDN FFS I.
Form Details:
- Released on October 1, 2018;
- The latest edition provided by the New Hampshire Department of 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 printable version of Form 272PDN FFS I by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Health and Human Services.
Download Form 272PDN FFS I Request for Service Authorization for Diagnostic Imaging - New Hampshire
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