| | Healthcare Industry | Medicaid
How to Fill Out a Medicaid Claim Form
Things You'll Need
- Medicaid number or Medicaid card
- Service code(s) and medical provider number
Instructions
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Obtain necessary Medicaid claim forms from your local or state Medicaid office. These forms have different names depending on the state in which you are filing the claim.
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Contact your medical provider and/or state Medicaid office to obtain specific information for the form. Your state Medicaid office will be able to instruct you on the exact service codes to enter on the form. In many cases, a provider number must be entered.
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Contact your state Medicaid office and submit the form to the address stated by the Medicaid office. This varies between each individual state. Submitting Medicaid claims electronically or via fax may also be an option.
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