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Unformatted text preview: subsequent to related hospitalizations. In block 14 a date should be entered when there is a current date of illness, injury or pregnancy. In block 21 the patient’s diagnosis/condition should be entered. You should enter the diagnosis code only, not the description. Enter up to four primary order codes. An independent laboratory must enter a diagnosis only for limited coverage procedures. INSURANCE DEDUCTIBLE CO-INSURANCE CO-PAY BILLING METHOD MADICARE PART B $135 ANNUAL 0-60= $0.00 $ 2.00 PER VISIT WITHDRAWN FROM SOCIAL SECURITY CHECK MEDICAID NONE $0.00 DEPENDING ON $2.00 PER VISIT $25.00 HOSPITAL STAY ELECTRONIC TRICARE $235 ANNUAL PER FAMILY UNTIL 65 YEARS OLD $ 12.00 PER VISIT MANUAL AND ELECTRONIC...
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- Spring '11
- LASHAUNDA N. MONROE, company weather employment, state postal code