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Form DOH-4401 Tpa / Aso Client List Addendum - Additions - New York
What Is Form DOH-4401?
This is a legal form that was released by the New York State Department of Health - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form DOH-4401?A: Form DOH-4401 is a Tpa/Aso Client List Addendum for Additions in New York.
Q: Who needs to fill out Form DOH-4401?A: This form needs to be filled out by TPA/ASO clients who have additions in New York.
Q: What is the purpose of Form DOH-4401?A: The purpose of this form is to add new clients to the TPA/ASO client list in New York.
Q: Is Form DOH-4401 mandatory?A: Yes, if you have new additions to your TPA/ASO client list in New York, filling out this form is mandatory.
Q: Are there any fees associated with Form DOH-4401?A: There are no fees associated with filling out the Form DOH-4401.
Q: What information do I need to provide on Form DOH-4401?A: You need to provide information about the new clients being added to the TPA/ASO client list.
Q: Is there a deadline for submitting Form DOH-4401?A: There is no specific deadline mentioned for submitting Form DOH-4401, but it is recommended to submit it as soon as possible after adding new clients.
Form Details:
- Released on May 1, 2012;
- The latest edition provided by the New York State Department of Health;
- 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 printable version of Form DOH-4401 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.
Download Form DOH-4401 Tpa / Aso Client List Addendum - Additions - New York
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