Recent Updates
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Patient Account Number
Updated on: Dec 07, 2022
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Federal Tax I.D. Number
Updated on: Dec 07, 2022
This Federal Tax I.D. number will be placed in Box 25 of the CMS 1500 form.
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Rendering Provider NPI
Updated on: Dec 07, 2022
This Rendering Provider ID will be placed in the shaded pink portion of the charge, in box 24J of the claim.
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Rendering Provider ID
Updated on: Dec 07, 2022
This Rendering Provider ID will be placed in the shaded pink portion of the charge, in box 24J of the claim.
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ID Qualifier (for Rendering Provider)
Updated on: Dec 07, 2022
This ID Qualifier will be placed in the shaded pink portion of the charge, in box 24I of the claim.
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EPSDT/Family Plan
Updated on: Dec 07, 2022
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Days or Units
Updated on: Dec 07, 2022
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Charges
Updated on: Dec 07, 2022
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Diagnosis Pointer
Updated on: Dec 07, 2022
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Modifiers
Updated on: Dec 07, 2022