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Handling Denied Claims

IS Forms

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Community Outreach Services (COS)
Community Outreach Services (Fillable: services BEFORE July 1, 2008)

Community Outreach Services (Fillable: servcs EFFECTIVE July 1, 2008)

Community Outreach Services Codes (Version 4, 6/04/2008)

Daily Service Log v1.2 (one space for Addt'l Staff)
Daily Service Log v2.2 (two spaces for Addt'l Staff)
Daily Service Log v3.3 (w/ column for Plan/Funding Source)
Group Service Log for IS 2.0
Group Service Log ~ Setting Up a Group Form
PFI or Payor Financial Information Form (rev. 4/2006)