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County Jail Medical Claims Billing. ND Department of Human Services Medical Services Division. October 8, 2012. Member Enrollment Form. Member Dis-Enrollment Form. $30 Per Claim Processed. $ Amount Paid For the Service (using ND Medicaid fee schedule). +.
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County Jail Medical Claims Billing ND Department of Human Services Medical Services Division October 8, 2012
Member Enrollment Form ND Department of Human Services, Medical Services Division
Member Dis-Enrollment Form ND Department of Human Services, Medical Services Division
$30 Per Claim Processed $ Amount Paid For the Service (using ND Medicaid fee schedule) + County Jail Medical Claims Billing Invoice ND Department of Human Services, Medical Services Division
SAMPLE ND Department of Human Services, Medical Services Division
SAMPLE ND Department of Human Services, Medical Services Division
SAMPLE Processing Fee ND Department of Human Services, Medical Services Division
Direct Questions to: Maggie Anderson, 701-328-1603 or via email at manderson@nd.govForms Inquiries:Mary Lou Thompson, 701-328-2322 orvia email at mlthompson@nd.govClaims Inquiries: Provider Relations, 701-328-4043 ND Department of Human Services, Medical Services Division