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Form DHCS1735 Medi-Cal Certification and Transmittal - California
What Is Form DHCS1735?
This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the DHCS1735 form?A: The DHCS1735 form is the Medi-Cal Certification and Transmittal form in California.
Q: What is Medi-Cal?A: Medi-Cal is a California health care program that provides low-cost or free medical coverage for eligible residents.
Q: Who can use the DHCS1735 form?A: The DHCS1735 form is used by health care providers in California to certify and transmit Medi-Cal claims.
Q: What is the purpose of the DHCS1735 form?A: The purpose of the DHCS1735 form is to certify the services provided to Medi-Cal beneficiaries and transmit the claims for reimbursement.
Form Details:
- Released on September 1, 2014;
- The latest edition provided by the California Department of Health Care 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 DHCS1735 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
