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Mississippi Medicaid Provider Billing Handbook Section: CMS-1500 Claim Form Instructions 2.0 CMS-1500 Claim Form Instructions This section explains the proced ures for obtaining reim bursem ent for services subm itted to
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Document Date: 2014-03-04 17:45:54


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City

Medicaid / Other / Qualifier Rendering Provider / Jackson / rendering provider / Provider / Service Provider / /

Company

Public Health Clinic Rural Health Clinic Independent Laboratory / Zip Code / /

Facility

Hospital Ambulatory Surgical Center Birthing Center Military Treatment Facility / /

IndustryTerm

Rubber signature stam ps / insurance carriers / secondary carrier / unusual circumstances/services / laboratory services / Web Portal Reminder Provid ers / Web Portal / eb portal / healthcare / Web Portal Claim / /

MedicalCondition

Injury / Illness / MS / /

Organization

Provider and Beneficiary Services Call Center / US Federal Reserve / MEDICARE / /

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Position

ID Qualifier / ent Physicians Physician / Physician / 24i ID Qualifier / authorized representative / Referring Physician / /

ProgrammingLanguage

DC / /

ProvinceOrState

Mississippi / /

Technology

http / /

URL

.acs-inc.com / /

SocialTag