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Form RI SI-14B Required Data Fields Claims Listing - Rhode Island
What Is Form RI SI-14B?
This is a legal form that was released by the Rhode Island Department of Labor and Training - a government authority operating within Rhode Island. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form RI SI-14B?
A: Form RI SI-14B is a required data fields claims listing specific to Rhode Island.
Q: What is the purpose of Form RI SI-14B?
A: The purpose of Form RI SI-14B is to provide a listing of required data fields for claims in Rhode Island.
Q: Who needs to fill out Form RI SI-14B?
A: Healthcare providers and insurance companies who submit claims in Rhode Island need to fill out Form RI SI-14B.
Q: What information is required in Form RI SI-14B?
A: Form RI SI-14B requires specific data fields such as patient information, provider information, and claim details.
Form Details:
- Released on March 1, 2012;
- The latest edition provided by the Rhode Island Department of Labor and Training;
- 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 RI SI-14B by clicking the link below or browse more documents and templates provided by the Rhode Island Department of Labor and Training.
