Instructions for Completing the Provider Summary Invoice

1. Open the Provider Summary Invoice form in the provided file.
2. Fill in the required sections:
   
   • Provider Name: Our Provider name is TeachTeam NFP
   • Vendor ID #: Our Vendor ID is VF934460655 
   • Procedure Code/Service: Specify the relevant procedure code or service being invoiced.
   • Authorization #: Enter the authorization number associated with the services provided.
   • Procedure/Service End Date: Fill in the date when the service was completed.
   • Invoice Number: Assign a unique invoice number for tracking purposes.
   • Customer Case ID and Name: Enter the participant's case ID and full name as it appears in the Employment Services Plan.
   • Amount: State the total amount being invoiced for the services provided.

1. Certification and Signature:
   
   • Provider Authorized Representative Signature: Sign the form to certify the accuracy of the information and compliance with Vocational Rehabilitation requirements.
   • Provider Authorized Representative Printed Name: Print your full name below the signature.
   • Invoice Date: Record the date the invoice is completed and signed.

1. Attach Supporting Documentation:
   
   • Ensure all required supporting documents, including the completed Employment Services Plan, are ready for submission.

1. Submit the Completed Invoice:
   
   • Upload the completed Provider Summary Invoice along with all supporting documentation to the AWARE portal for approval by the VR Counselor.

 Video Lessons for AWARE training (for billing and reporting in Florida): https://www.gotostage.com/channel/94a83281d793492c9e84f5c8dbe41106