PDF
Word
Form SFN1730 Home & Community Based Care for the Elderly / Disabled and Developmentally Disabled Billing Form - North Dakota
What Is Form SFN1730?
This is a legal form that was released by the North Dakota Department of Health and Human Services - a government authority operating within North Dakota. Check the official instructions before completing and submitting the form.
FAQ
Q: What is the SFN1730 form?
A: The SFN1730 form is the billing form used for Home & Community Based Care for the Elderly/Disabled and Developmentally Disabled services in North Dakota.
Q: Who should use the SFN1730 form?
A: The SFN1730 form should be used by providers of Home & Community Based Care for the Elderly/Disabled and Developmentally Disabled services in North Dakota to submit billing information.
Q: What information is required on the SFN1730 form?
A: The SFN1730 form requires information such as the provider's name and address, client information, service dates, service codes, and billing amounts.
Q: How should I complete the SFN1730 form?
A: The SFN1730 form should be completed accurately and legibly, following the instructions provided. It is important to include all required information and supporting documentation.
Form Details:
- The latest edition provided by the North Dakota Department of Health and Human 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 printable version of Form SFN1730 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.
