Search results with tag "Tips for completing the ub04"

Tips for Completing the UB04 (CMS-1450) Claim Form

Tips for Completing the UB04 (CMS-1450) Claim Form Page 5 of 17 Field Field description Field type Instructions 52a, b, c Release of Information Certification Indicator Required Enter the appropriate code denoting whether the provider has on file a signed statement from the patient or the patient’s legal representative to ...

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