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ICP banner page INDIANA HEALTH COVERAGE PROGRAMS BR201139 SEPTEMBER 27, 2011 ? Requesting? Versus ?rendering? Provider fields on universal PA form In January 2011, the Office of Medicaid Policy and
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What is br201139requesting versusrendering provider fields?
br201139requesting versusrendering provider fields refer to the fields used to designate the provider who requested a service versus the provider who actually rendered the service.
Who is required to file br201139requesting versusrendering provider fields?
Healthcare providers are required to file br201139requesting versusrendering provider fields when submitting claims or other related documentation.
How to fill out br201139requesting versusrendering provider fields?
To fill out the br201139requesting versusrendering provider fields, healthcare providers need to enter the appropriate identification information for both the requesting provider and the rendering provider as specified by the relevant guidelines or forms.
What is the purpose of br201139requesting versusrendering provider fields?
The purpose of the br201139requesting versusrendering provider fields is to accurately identify and differentiate between the provider who requested a service and the provider who actually rendered the service for billing and reimbursement purposes.
What information must be reported on br201139requesting versusrendering provider fields?
The br201139requesting versusrendering provider fields require the reporting of identification information of both the requesting provider and the rendering provider, which may include their names, unique identification numbers, addresses, and other relevant details.
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