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Superbill / Claim / Patent law / ZIP code


Document Date: 2011-12-15 16:27:33

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File Size: 830,00 KB

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Provider / Plan Provider / Qualifier Rendering Provider / Qualifier Facility Provider / /

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United States / /

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USD / /

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Facility Provider ID / Facility Provider / HI11 HI12 Facility / /

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claim processing system / services/product / /

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International Unit / United Nations / ERRP Center / /

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Max Size / Gender / /

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ICD Code Qualifier / Provider ID Qualifier / HI11 HI12 Facility Provider ID Qualifier / /

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R / ML / /

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alpha / /

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