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Leonard J. Chart Medical Center 1978 Industrial Blvd. Houma, LA 70363 (985) 8731829 Patient Name: Medical Record #: Today's Date: The following information must be provided in order to process an
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University Hospital/Interim LSU Hospital is a teaching hospital and Level 1 trauma center in New Orleans, Louisiana.
All medical facilities and healthcare providers associated with University Hospital/Interim LSU Hospital are required to file the necessary documents.
To fill out University Hospital/Interim LSU Hospital forms, providers must include detailed patient information, medical procedures performed, and billing details.
The purpose of University Hospital/Interim LSU Hospital forms is to accurately report medical services provided, ensure proper billing, and maintain compliance with healthcare regulations.
Information that must be reported on University Hospital/Interim LSU Hospital forms includes patient demographics, treatment codes, insurance information, and healthcare provider details.
The deadline to file University Hospital/Interim LSU Hospital documents in 2023 is typically within 30 days of the end of each quarter.
The penalty for late filing of University Hospital/Interim LSU Hospital forms may result in fines, delayed reimbursements, or potential legal actions.
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