Form SFN528 Certificate of Medical Necessity - Infant Apnea Monitor - North Dakota

Form SFN528 Certificate of Medical Necessity - Infant Apnea Monitor - North Dakota

What Is Form SFN528?

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 the SFN528 Certificate of Medical Necessity?
A: The SFN528 Certificate of Medical Necessity is a form used in North Dakota to certify the medical necessity of an infant apnea monitor.

Q: What is an infant apnea monitor?
A: An infant apnea monitor is a device that monitors a baby's breathing pattern and alerts caregivers if the baby stops breathing.

Q: Who needs to complete the SFN528 form?
A: The SFN528 form needs to be completed by a healthcare provider who is recommending the use of an infant apnea monitor.

Q: Why is the SFN528 form necessary?
A: The SFN528 form is necessary to establish the medical necessity of an infant apnea monitor for insurance purposes.

ADVERTISEMENT

Form Details:

  • Released on August 1, 2016;
  • 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 SFN528 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.

Download Form SFN528 Certificate of Medical Necessity - Infant Apnea Monitor - North Dakota

4.4 of 5 (34 votes)
  • Form SFN528 Certificate of Medical Necessity - Infant Apnea Monitor - North Dakota, Page 1
ADVERTISEMENT