This version of the form is not currently in use and is provided for reference only. Download this version of Form SFN447 for the current year.
This is a legal form that was released by the North Dakota Department of Health and Human Services - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form SFN447?
A: Form SFN447 is the Exemption for Submitting Electronic Claims form.
Q: What is the purpose of Form SFN447?
A: The purpose of Form SFN447 is to request an exemption from submitting electronic claims in North Dakota.
Q: Who needs to complete Form SFN447?
A: Health care providers or facilities who are unable to submit electronic claims in North Dakota need to complete Form SFN447.
Q: How do I complete Form SFN447?
A: To complete Form SFN447, you need to provide your contact information, explanation for the exemption, and any supporting documentation.
Q: Is there a deadline for submitting Form SFN447?
A: There is no specific deadline mentioned for submitting Form SFN447.
Q: Is there a fee for submitting Form SFN447?
A: There is no mention of a fee for submitting Form SFN447.
Q: What if my exemption is approved?
A: If your exemption is approved, you will be allowed to submit paper claims instead of electronic claims in North Dakota.
Q: What if my exemption is denied?
A: If your exemption is denied, you will be required to submit electronic claims as per the state's requirements.
Form Details:
Download a fillable version of Form SFN447 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.