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Federal assistance in the United States / Healthcare reform in the United States / Medicaid / Presidency of Lyndon B. Johnson / Unique physician identification number / Explanation of benefits / Health insurance / Nursing home / Medical billing / Health / Medicine / Identifiers


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Document Date: 2008-03-03 09:52:42


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City

Bismarck / /

Company

ND Medicaid Provider / Facility Intermediate Mental Health Care Facility Independent Laboratory / /

IndustryTerm

medical insurance coverage / insurance coverage / /

Organization

DATES OF SERVICE / PLACE OF SERVICE / North Dakota Medicaid CMS-1500 Claim Form Billing Instructions Medical Services North Dakota Department of Human Services / /

Position

performing physician / physician / REFERRING PHYSICIAN / assigned representative / /

Product

Unlisted Facility Block (24D) / /

ProvinceOrState

North Dakota / /

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