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Cover Page for Medical Provider Network Application ARSLegal  Form

Cover Page for Medical Provider Network Application ARSLegal Form

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Hello, and welcome to an overview of how to register for the Provider Relief Fund Reporting portal or PRF Reporting portal. This video will demonstrate the process for registering, the first step in using the PRF Reporting portal. For additional information, please refer to the PRF Portal Registration User Guide. Please note that you will only need to register once, as registration carries across all reporting periods. Before registering, you will need to have the following information readily available: 1. The Tax Identification Number (or TIN) submitted during the application process; this can be accessed on the IRS Form W-9 or the business’ latest tax filing. 2. Provider Relief Fund or American Rescue Plan (also known as ARP) payment information, including: The TIN of the entity that received the payment. The TIN must be a TIN that received a PRF or ARP payment as it will be validated during the registration process. The mode of payment (check or direct deposit via Automated Clear

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