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Instructions for Completing the CMS-1500 Claim Form The following Iowa Medicaid provider types bill for services on the CMS-1500 claim form: Ambulance, Ambulatory Surgical Centers, Area Education
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Iowa NPI Insureds 11d HCPCs taxonomy CMS-1500 EPSDT YY 24d ELVS MediPASS 24J Moines 24A NDC EMC submitters DME modifiers Audiologists 11a-c resubmission CMS 33b Opticians x-ray 1-primary 32b 24E FECA

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