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FPH Paper Claim Requirements Effective with dates of service on or after March 1, 2011, First Priority Health (FPH) will require the following information on all NCC 1500 (8/05) and/or UB-04/1450
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FPH paper claim requirements are the documents and information needed to file a paper claim for reimbursement.
Healthcare providers or facilities who need to submit a paper claim for reimbursement are required to file FPH paper claim requirements.
Filling out FPH paper claim requirements involves providing detailed information about the medical services provided, patient information, and billing details.
The purpose of FPH paper claim requirements is to ensure accurate and complete documentation is provided when submitting a claim for reimbursement.
Information such as patient demographics, diagnosis codes, procedure codes, provider information, and billing details must be reported on FPH paper claim requirements.
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