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picture1_Medicare Pdf 44271 | Fee Schedule


picture2_Medicare Pdf 44271 | Fee Schedule picture3_Medicare Pdf 44271 | Fee Schedule

 113x       Filetype PDF       File size 0.23 MB       Source: www.bcbsnm.com


File: Medicare Pdf 44271 | Fee Schedule
Fee Schedule Request Form ® To obtain the Current Procedural Terminology (CPT ) code fee schedule, complete and send this form to Blue Cross and Blue Shield of New Mexico ...

icon picture PDF Filetype PDF | Posted on 17 Aug 2022 | 2 years ago
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...Fee schedule request form to obtain the current procedural terminology cpt code complete and send this blue cross shield of new mexico by fax or locally at email feeschedulerequests bcbsnm com you will receive an from with requested information requester name title date provider npi number tax id address city state zip phone networks commercial hmo ppo pos par fep sm community advantage networksm preferred network medicaid schedules human services department website medicare physician look up tool cms additional instructions specific requests etc see next page for confidentiality agreement must be completed signed returned both contracted non providers prior receiving completing submitting are representing that has authorized pursuant thereto s thank copyright american medical association ama all rights reserved is a registered trademark division health care service corporation mutual legal reserve company independent licensee effective as on which last party signs entered into between...
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