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Maternity Readmission Form Mercy Medical Center Attn: Admitting 1111 6th Ave, Des Moines, IA 50314 MOTHERS INFORMATION: (Complete each line) Last Name First Middle Street Address Apt. City State Zip

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What is 9540-082 maternity pre-admis?

9540-082 maternity pre-admis is a form used to pre-admit maternity patients to a healthcare facility.

Who is required to file 9540-082 maternity pre-admis?

Healthcare facilities and providers who admit maternity patients are required to file 9540-082 maternity pre-admis.

How to fill out 9540-082 maternity pre-admis?

To fill out 9540-082 maternity pre-admis, healthcare providers need to provide information about the maternity patient, including medical history, due date, and insurance details.

What is the purpose of 9540-082 maternity pre-admis?

The purpose of 9540-082 maternity pre-admis is to streamline the pre-admission process for maternity patients and ensure that healthcare facilities are prepared for their arrival.

What information must be reported on 9540-082 maternity pre-admis?

Information such as the maternity patient's name, contact details, medical history, due date, insurance information, and any special requirements must be reported on 9540-082 maternity pre-admis.

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