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Form DHCS6700 Multiple Billing Override Certification - California
What Is Form DHCS6700?
This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. Check the official instructions before completing and submitting the form.
FAQ
Q: What is Form DHCS6700?A: Form DHCS6700 is the Multiple Billing Override Certification form used in California.
Q: What is the purpose of Form DHCS6700?A: The purpose of Form DHCS6700 is to certify that a provider has the capability to accurately bill for multiple services provided to a recipient on one claim.
Q: Who should fill out Form DHCS6700?A: Form DHCS6700 should be filled out by healthcare providers who wish to bill for multiple services on one claim.
Q: Is Form DHCS6700 mandatory?A: Yes, Form DHCS6700 is mandatory for providers who want to bill for multiple services on one claim in California.
Q: What information is required on Form DHCS6700?A: Form DHCS6700 requires information such as provider identification, recipient information, service details, and the provider's certification.
Q: Are there any fees associated with Form DHCS6700?A: No, there are no fees associated with Form DHCS6700.
Q: How often should Form DHCS6700 be submitted?A: Form DHCS6700 should be submitted initially and whenever there are changes to the provider's billing capabilities.
Q: What is the deadline for submitting Form DHCS6700?A: There is no specific deadline for submitting Form DHCS6700, but it should be submitted before the provider bills for multiple services on one claim.
Form Details:
- Released on June 1, 2014;
- The latest edition provided by the California Department of Health Care 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 DHCS6700 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
