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CMH Billing Instructions CMS 1500 CHILDREN WITH MEDICAL HANDICAPS PROGRAM BILLING INSTRUCTIONS FOR THE CMS 1500 (02/12) Item 1 Item 1a PROGRAM Check Other as the type of health insurance. INSUREDS

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2008 2016 Ohio CMH NPI CMS INSUREDS NUCC modifier 1D insurer HEALTHCHEK 17a HCPCS LMP RESUBMISSION ICD Enteral QY MMDDYY QK iin NScode EMG Modifiers 33B QZ HH QX 17b ZP 10a 1character

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