Basic Medicaid Billing Guide

Division of Medical Assistance
Providing access to high quality, medically necessary health care for eligible North Carolina residents through cost effective purchasing of health care services and products.

Basic Medicaid Billing Seminar Registration

Seminars begin at 9:00 a.m. and will end at Noon. Providers are encouraged to arrive by 8:45 a.m. to complete registration.

The Basic Medicaid Billing Guide will be available at the Fayetteville and Raleigh Seminars.

Provider Name:

Provider Number:

Contact Person:

Address:

City:

Zip Code:

County:

Telephone Number (including area code):

Fax Number (including area code):

E-Mail Address:

Number of attendees:

Choose Seminar:

	Tuesday, April 17, 2007"Seminar is Full" Holiday Inn 1707 Owen Drive Fayetteville, N.C.		Wednesday, April 18, 2007 "Seminar is Full" Jane S. McKimmon Center 1101 Gorman Street Raleigh, N.C.

	Tuesday, April 24, 2007 "Seminar is Full" Holiday Inn 6426 Burnt Poplar Road Greensboro, N.C.		Monday, April 30, 2007 Crown Plaza One Resort Drive Asheville, N.C.

Please click the submit button only one time! EDS will confirm your seminar registration within 2 business days. Please contact EDS Provider Services at 1-800-688-6696 or 919-851-8888 if you have not received confirmation within 2 business days.

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Updated 3/30/07