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Form SFN583 North Dakota Medicaid Electronic Remittance Advice (835) Enrollment - North Dakota
What Is Form SFN583?
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.
FAQ
Q: What is Form SFN583?
A: Form SFN583 is the North Dakota Medicaid Electronic Remittance Advice (835) Enrollment form.
Q: What is the purpose of Form SFN583?
A: The purpose of Form SFN583 is to enroll in the North Dakota Medicaid Electronic Remittance Advice (835) program.
Q: What is the North Dakota Medicaid Electronic Remittance Advice (835) program?
A: The North Dakota Medicaid Electronic Remittance Advice (835) program allows healthcare providers to receive electronic remittance advice statements.
Q: Who needs to complete Form SFN583?
A: Healthcare providers who want to enroll in the North Dakota Medicaid Electronic Remittance Advice (835) program need to complete Form SFN583.
Form Details:
- Released on July 1, 2022;
- The latest edition provided by the North Dakota 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 fillable version of Form SFN583 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.
Download Form SFN583 North Dakota Medicaid Electronic Remittance Advice (835) Enrollment - North Dakota
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