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picture1_Cms 1500 Form Instructions


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 114x       Filetype PDF       File size 0.15 MB       Source: www.lacare.org


File: Cms 1500 Form Instructions
Instructions on how to fill out the CMS 1500 Form Item Instructions Type of Health Insurance Coverage Applicable to the Claim Item 1 Show the type of health insurance coverage ...

icon picture PDF Filetype PDF | Posted on 17 Aug 2022 | 2 years ago

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...Instructions on how to fill out the cms form item type of health insurance coverage applicable claim show this by checking appropriate box e g if a medicare is being filed check insured s id number patient hicn required field enter whether primary or secondary payer be sure include suffix and do not use spaces dashes example proper submission an invalid will cause deny rejected as unprocessable begins with alpha character their claims must railroad address indicated here palmetto government benefits administration po augusta ga note noridian administrative services nas prohibited from forwarding such name last first middle initial any it appears card jones john j only one space between identical match submit extra nicknames descriptions jr sr deceased estate unless extend beneficiary beyond confines birth date sex digit mm dd ccyy should either m f marking both neither leave blank there through spouse employment other source list when are same word telephone filled in completely mailin...
								

							

						
	
												
				
					
					
					
			
					
				
				
		
	

	
		





	

	
				

						

						
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										Category:  Uncategorized / Uncategorized 
										
Posted on: 17 Aug 2022 | 2 years ago
										
										
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Filetype: PDF
										
File size: 0.15 MB
										
Views: 114x
										
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										Wan learn
											

												Wan learn