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Indianapolis Gastroenterology & Hepatology, Inc. PERMISSION TO DISCLOSE INFORMATION (Includes medical and billing information) PATIENT NAME: Last First M.I. DATE OF BIRTH: HOME TELEPHONE #: HOME ADDRESS:
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What is indy gastro?
Indy gastro is a form used to report gastrointestinal procedures and treatments for patients.
Who is required to file indy gastro?
Gastroenterologists, hospitals, and medical facilities are required to file indy gastro.
How to fill out indy gastro?
Indy gastro can be filled out electronically or manually through the designated online portal.
What is the purpose of indy gastro?
The purpose of indy gastro is to track and document gastrointestinal procedures and treatments for medical and billing purposes.
What information must be reported on indy gastro?
Information such as patient details, procedure codes, provider information, and date of service must be reported on indy gastro.
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