Example: air traffic controller
FQHC/RHC

FQHC/RHC

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PA PROMISe™ 837 Professional/CMS-1500 Claim Form Provider Handbook Appendix E – FQHC/RHC Provider Handbook 837 Professional/CMS-1500 Claim Form Revised April 22, 2014 replacing June 20, 2012

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