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Form SFN528 Certificate of Medical Necessity - Infant Apnea Monitor - North Dakota
What Is Form SFN528?
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. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the SFN528 Certificate of Medical Necessity?A: The SFN528 Certificate of Medical Necessity is a form used in North Dakota to certify the medical necessity of an infant apnea monitor.
Q: What is an infant apnea monitor?A: An infant apnea monitor is a device that monitors a baby's breathing pattern and alerts caregivers if the baby stops breathing.
Q: Who needs to complete the SFN528 form?A: The SFN528 form needs to be completed by a healthcare provider who is recommending the use of an infant apnea monitor.
Q: Why is the SFN528 form necessary?A: The SFN528 form is necessary to establish the medical necessity of an infant apnea monitor for insurance purposes.
Form Details:
- Released on August 1, 2016;
- 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 fillable version of Form SFN528 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.
