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Form DHS-4087-ENG Electronic Remittance Advice (Ra) Request - Minnesota Health Care Programs (Mhcp) - Minnesota
What Is Form DHS-4087-ENG?
This is a legal form that was released by the Minnesota Department of Human Services - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DHS-4087-ENG?
A: DHS-4087-ENG is the form for Electronic Remittance Advice (RA) Request.
Q: What is Electronic Remittance Advice (RA)?
A: Electronic Remittance Advice (RA) is a summary of payment information provided by a payer to a healthcare provider.
Q: What are Minnesota Health Care Programs (MHCP)?
A: Minnesota Health Care Programs (MHCP) are the public health care programs in Minnesota, offering medical coverage to eligible individuals and families.
Q: What does the DHS-4087-ENG form request?
A: The DHS-4087-ENG form requests information related to the Electronic Remittance Advice (RA) for Minnesota Health Care Programs (MHCP).
Form Details:
- Released on February 1, 2021;
- The latest edition provided by the Minnesota 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 fillable version of Form DHS-4087-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.
