Form FA-31E Provider Enrollment Application for Ordering, Prescribing or Referring (Opr) Providers - Nevada

Form FA-31E Provider Enrollment Application for Ordering, Prescribing or Referring (Opr) Providers - Nevada

What Is Form FA-31E?

This is a legal form that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form FA-31E?
A: Form FA-31E is the Provider Enrollment Application specifically for Ordering, Prescribing or Referring (OPR) Providers in Nevada.

Q: Who should use Form FA-31E?
A: OPR Providers in Nevada should use Form FA-31E to enroll in the provider network.

Q: What is an OPR Provider?
A: An Ordering, Prescribing or Referring (OPR) Provider is a healthcare professional who can order, prescribe, or refer services for patients.

Q: Why do OPR Providers need to enroll?
A: OPR Providers need to enroll to be recognized by the provider network and receive payments for the services they order, prescribe, or refer.

Q: What information is required in Form FA-31E?
A: Form FA-31E requires information about the provider's personal details, professional credentials, and authorization for general healthcare services.

Q: How long does it take to process Form FA-31E?
A: The processing time for Form FA-31E varies. It is recommended to submit the application well in advance to allow for any processing delays.

Q: What should I do if there are errors or omissions in my Form FA-31E?
A: If there are errors or omissions in your Form FA-31E, you should contact the enrollment department to rectify the situation.

ADVERTISEMENT

Form Details:

  • Released on January 21, 2015;
  • The latest edition provided by the Nevada Department of Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form FA-31E by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.

Download Form FA-31E Provider Enrollment Application for Ordering, Prescribing or Referring (Opr) Providers - Nevada

4.4 of 5 (37 votes)
  • Form FA-31E Provider Enrollment Application for Ordering, Prescribing or Referring (Opr) Providers - Nevada

    1

  • Form FA-31E Provider Enrollment Application for Ordering, Prescribing or Referring (Opr) Providers - Nevada, Page 2

    2

  • Form FA-31E Provider Enrollment Application for Ordering, Prescribing or Referring (Opr) Providers - Nevada, Page 3

    3

  • Form FA-31E Provider Enrollment Application for Ordering, Prescribing or Referring (Opr) Providers - Nevada, Page 4

    4

  • Form FA-31E Provider Enrollment Application for Ordering, Prescribing or Referring (Opr) Providers - Nevada, Page 1
  • Form FA-31E Provider Enrollment Application for Ordering, Prescribing or Referring (Opr) Providers - Nevada, Page 2
  • Form FA-31E Provider Enrollment Application for Ordering, Prescribing or Referring (Opr) Providers - Nevada, Page 3
  • Form FA-31E Provider Enrollment Application for Ordering, Prescribing or Referring (Opr) Providers - Nevada, Page 4
Prev 1 2 3 4 Next
ADVERTISEMENT