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Form DHCS MC6700 Multiple Billing Override Certification - California
What Is Form DHCS MC6700?
This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the DHCS MC6700 Multiple Billing Override Certification?
A: The DHCS MC6700 Multiple Billing Override Certification is a form used in California to request authorization to bill for multiple services that are typically not eligible for reimbursement.
Q: Who can use the DHCS MC6700 Multiple Billing Override Certification?
A: Healthcare providers in California who need to bill for multiple services that are not typically reimbursable can use the DHCS MC6700 form.
Q: What is the purpose of the DHCS MC6700 form?
A: The purpose of the DHCS MC6700 form is to request authorization from the California Department of Health Care Services to bill for services that are not normally reimbursable.
Q: How do I fill out the DHCS MC6700 form?
A: The DHCS MC6700 form requires you to provide information about the services you want to bill for, the reasons why they are not normally reimbursable, and any supporting documentation.
Q: Is there a fee for submitting the DHCS MC6700 form?
A: There is no fee for submitting the DHCS MC6700 form.
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 DHCS MC6700 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
