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Form DOH-4459 End of Month Covered Lives Enrollment Option for Payors - New York
What Is Form DOH-4459?
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-4459?A: Form DOH-4459 is the End of Month Covered Lives Enrollment Option for Payors in New York.
Q: Who is required to fill out Form DOH-4459?A: Payors in New York are required to fill out Form DOH-4459.
Q: What does Form DOH-4459 capture?A: Form DOH-4459 captures the end of month covered lives enrollment information for payors.
Q: When is Form DOH-4459 due?A: Form DOH-4459 is typically due by the 15th day of the month following the end of the reporting period.
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-4459 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.
Download Form DOH-4459 End of Month Covered Lives Enrollment Option for Payors - New York
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