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Mode Health Plan, Inc.
Medical Necessity Criteria
Origination Date: 08/14
Developed By: Medical Criteria CommitteeApproved:Neal Mills, MD, Subject: Gender Reassignment
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What is origination date 0814?
Origination date 0814 refers to the date when a specific transaction was initiated or originated.
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Entities or individuals involved in the transaction are required to file origination date 0814.
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Origination date 0814 should be filled out with the exact date (mmdd format) when the transaction was initiated.
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The purpose of origination date 0814 is to provide a reference point for when a transaction began.
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