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Revision:HCFAPM874 (BERG) OCTOBER 2000 StatelTerritory: ...:W!.!. Best V!...!i!.!.RGO.!i!!!n!!!ill ATTACHl1llE 'NT 3.1E Page 1 OMB No. 1Je9380193STANDMIDS FOR THE COVERAGE OF ORGAN TRANSPLANT Servicewoman
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Start by gathering all the necessary information. This includes the patient's personal details, such as their name, address, and insurance information. You will also need the details of the healthcare provider, including their name, address, and National Provider Identifier (NPI) number.
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Begin filling out the top section of the form, which includes the patient's information. Provide accurate and up-to-date details to ensure proper identification and billing.
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Proceed to the sections that pertain to the services provided. Start by entering the date of service and the corresponding place of service. Indicate the applicable Healthcare Common Procedure Coding System (HCPCS) or Current Procedural Terminology (CPT) codes for the services rendered.
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hcfa-pm-87-4 berc is a form used to report certain healthcare information.
Healthcare providers and institutions are required to file hcfa-pm-87-4 berc.
hcfa-pm-87-4 berc should be filled out following the instructions provided by the healthcare administration.
The purpose of hcfa-pm-87-4 berc is to gather and report healthcare data.
hcfa-pm-87-4 berc must include information such as patient demographics, services provided, and billing details.
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