Ordering Provider
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WASHINGTON STATE COVID-19 POINT OF CARE TEST …
doh.wa.govOrdering provider name (first and last) For health care providers or facilities, the full name of the medical provider who ordered the POC test. Other facilities can put “N/A”. Phone The ordering provider’s phone number. Use 10-digit phone numbers. If
NYS MEDICAID PRE-ADJUDICATION CROSSWALK FOR …
www.emedny.orgA7501DKInvalid state for Ordering Provider address at line level A7501FAInvalid state for facility or laboratory address at line level VERSION 5010 (BATCH AND REAL-TIME)
Florida Medicaid Provider Enrollment Application Guide
www.homecareoffice.comwith provider type and specialty selections that are available for the enrollment type selected, as well as taxonomies that align to the specialties chosen. Applicants may view the Provider Type and Specialty crosswalk to learn which qualifies for fully enrolled, limited enrolled, or ordering or referring enrollment.
Advanced Imaging Ordering Program Procedure Request Form
www.emedny.orgAdvanced Imaging Ordering Program Procedure Request Form. NYS Medicaid FFS is providing this form for use with the Advanced Imaging Ordering Program. It can be used as a tool when calling HealthHelp or it can be faxed to HealthHelp at (888) 209-9634. for consultations on certain CT, MR, Cardiac Nuclear Medicine, or PET scans.