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Medicaid Credit Balance Report - Certification Page - South Carolina
Medicaid Credit Balance Report - Certification Page is a legal document that was released by the South Carolina Department of Health and Human Services - a government authority operating within South Carolina.
FAQ
Q: What is the Medicaid Credit Balance Report?
A: The Medicaid Credit Balance Report is a document that identifies any credit balance owed to Medicaid.
Q: What is the purpose of the Certification Page?
A: The Certification Page is a form that verifies the accuracy of the Medicaid Credit Balance Report.
Q: Who needs to complete the Certification Page?
A: The Certification Page should be completed by the appropriate authorized representative of the healthcare provider.
Form Details:
- Released on July 1, 2012;
- The latest edition currently provided by the South Carolina Department of Health and Human Services;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the South Carolina Department of Health and Human Services.
