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Printable Form 433-F Vallejo California: What You Should Know

Send written inquiries to: Meridian Healthcare Solutions. Attn: Patient Enrollment Services. 4404 West 14th Street. Suite 300. Fargo, ND 58. 1. Do not leave payment on your desk while waiting to make a payment. 2. Do not make payment before you receive a response to your inquiry. 3. If you have a pre-authorized credit card account: Pay the bill at the time you receive the payment instructions. 3a. If you have pre-authorized a payment with a third-party payroll services company: Contact the company immediately after receiving the bill(s). 4. If you have a bill from the ND Medicaid Provider Services or Provider Enrollment Division (including your Medicaid Provider): a. Review the account statements carefully. b. If you have any questions: i. Call Medicaid Provider Enrollment at from 8 a.m. to 8 p.m. daily. ii. If you have additional questions: iii. Contact the Medicaid Provider Enrollment Customer Care Unit at daily. 5. If you have a payment plan in place with your employer: Review the account statement carefully. If you have any questions or if the account contains a payment plan amount that you are not satisfied with: a. Contact the payroll firm immediately. b. If you have additional questions: c. Contact the payroll firm as soon as you have information about the unpaid amount. 6. If you have not received a notice from your paycheck (payday) indicating that your wages from the preceding pay period are missing from the ND Minimum Wage, Supplemental Security Income, or TANK rolls (with no reason given for the absence): a. Call the ND Department of Employment Services at from 9 a.m. to 5 p.m., Monday through Friday, from 9 a.m. to 5 p.m. for assistance. A representative from the Dept. of Employment Services will contact you on the phone to discuss your situation and discuss possible forms of payment. b. Do not: i. Complete a collection account. i. Make payments on a collection account prior to finding out what happened to your wages. 7.

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