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Payment instruction

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1490-Patient's Request for Medical Payment

1490-Patient's Request for Medical Payment

www.cms.gov

(PLEASE RETURN ONLY THE FORM AND NOT THE INSTRUCTION) Patient’s Request for Medical Payment for the Influenza/Pneumococcal Vaccinations, Part B Services, (includes physician, laboratory, imaging services), Durable Medical Equipment, Prosthetics, Orthotics and Supplies, Foreign Travel (including Canada and Mexico) and Shipboard Services

  Medical, Instructions, Payments, Request, Request for medical payment

MM12558 - Calendar Year (CY) 2022 Annual Update for ...

MM12558 - Calendar Year (CY) 2022 Annual Update for ...

www.cms.gov

Jan 12, 2022 · minimum payment amount. However, for Pap smear tests, payment may also not exceed the actual charge. The CY 2022 national minimum payment amount is $15.92 (This value reflects the CY 2021 national minimum payment with a 5.1% increase or $15.15 times 1.051.) The affected codes for the national minimum payment amount are: 88142, 88143, 88147, 88148,

  Payments

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