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Jones 207YX0602X Dr. Smith 207YP0228X 69116 Township Surgeons Group Dr. Cutter 207XX0004X Dr. Suture 3-005 digit TIN or SSN if TIN is not applicable. PROVIDER SUB-IDENTIFIER EXAMPLE 1 City Wide Clinic with a TIN of 123456789 has three locations in an area. They would be submitted to TMA in the following format TIN ZIP CODE SUB-ID NAME SPEC 123456789 12345 A001 A002 Doctor Jones 207KA0200X A003 Doctor Smith 208D00000X A004 Doctor Brown 207K00000X A005 Doctor Doe B001 193200000X B002 Doctor...
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What is data requirements - provider?
Data requirements - provider is a set of specific data elements and information that must be submitted by a provider.
Who is required to file data requirements - provider?
Providers are required to file data requirements - provider.
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The purpose of data requirements - provider is to gather essential information for analysis and decision-making.
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Information such as patient demographics, services provided, and billing details must be reported on data requirements - provider.
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