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Form 996 Application for Certificate of Filing as a Provider-Sponsored Integrated Health Delivery Network - Kentucky
What Is Form 996?
This is a legal form that was released by the Kentucky Department of Insurance - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 996?
A: Form 996 is the Application for Certificate of Filing as a Provider-Sponsored Integrated Health Delivery Network in Kentucky.
Q: What is a provider-sponsored integrated health delivery network?
A: A provider-sponsored integrated health delivery network is a healthcare organization where providers coordinate and deliver a range of services, such as primary care, specialty care, and hospital services.
Q: Who needs to fill out Form 996?
A: Healthcare organizations that want to be recognized as a provider-sponsored integrated health delivery network in Kentucky need to fill out Form 996.
Q: What is the purpose of Form 996?
A: The purpose of Form 996 is for healthcare organizations to apply for a certificate of filing as a provider-sponsored integrated health delivery network in Kentucky.
Form Details:
- Released on August 1, 2021;
- The latest edition provided by the Kentucky Department of Insurance;
- 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 996 by clicking the link below or browse more documents and templates provided by the Kentucky Department of Insurance.
Download Form 996 Application for Certificate of Filing as a Provider-Sponsored Integrated Health Delivery Network - Kentucky
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