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Form 8917 for Salt Lake Utah: What You Should Know
Provider Type: Health Care Provider. 12, Payment Type: Direct. 13, Total: 0.02. 14, Subtract amount of direct payments for medical services from amount of direct payments for dental services. 15, Total: 0.32. 16, Provider Identification Number (PIN). 17, Total: 5,735.94. 18, Net of Direct Payments for Medical Services paid on behalf of Utah Medicaid. 19, Total: 3,360.94. 20, Net of Indirect Payments for Direct medical services paid on behalf of Utah Medicaid. 21, Total: 0.02. 22, Provider State Code: 678. 23, Total: 5,735.94. 24, Medicaid Provider #. 25, Provider Name: Salt Lake Community College. 26, Provider State ID Number: 00-20982313. 27, Total: 3,360.59. 28, Provider City: Salt Lake City. 29, Type of Provider: Health Care Provider. 30, Total: 0.00. 31, Provider State Code: 2. 32, Provider ID # #. 33, Total: 0.00. 34, Utah Provider Code: 8-6-05-3-01. 37, Total: 1,000.00. 38, Total: 0.00. 39, Provider State Code: 678. 50, Total: 1,000.00. 51, Total: 0.00. Sheet 2 — U.S. Tax Form 946-C It's important to understand the various tax forms each medical provider must use to report your medical expenses. Sheet 3 — U.S. Tax Form 940 Your medical provider must complete the tax form and attach it to your return. Sheet 4 — U.S. Tax Form 1099 The tax form must include your medical expenses and include your provider's tax information. Sheet 5 — U.S. Tax Form 1099-MISC Payments for medical expenses and non-medical expenses. Sheet 6 — U.S. Tax Form 1099-MISC Payments for health-related services. Payments for dental expenses. Payments for long term care. Payments for prescription drugs not covered by health insurance. Non-medical deductions.
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