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Encounter Data System Standard Companion Guide Transaction Information Instructions related to the 837 Health Care Claim: Durable Medical Equipment (DME) Supplier Professional Transaction based on
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Attachment h - j11 is a form used to report specific information related to financial transactions.
Individuals or entities who have engaged in certain financial transactions are required to file attachment h - j11.
Attachment h - j11 can be filled out by providing accurate information regarding the financial transactions in the designated fields of the form.
The purpose of attachment h - j11 is to provide detailed information about financial transactions to the relevant authorities for regulatory and compliance purposes.
Information such as the nature of the financial transactions, the parties involved, the dates of the transactions, and the amounts transferred must be reported on attachment h - j11.
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