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NCPDP VERSION 5 PAYER SHEET GENERAL INFORMATION Date 01/19/07 Payer Name Utah Medicaid Plan Name/Group Name NA Processor Switch WebMD NDC Effective as of 11/01/06 Version/Release 5. 1. through 5. 5 3 Social Security Number SSN 4 Name 5 National Provider Identifier NPI 6 Health Industry Number HIN 7 State Issued 99 Other Test Data Note NCPDP Field Name BIN Number Processor Control Number Service Provider ID Qualifier Date of Service Software/Vendor Certification ID 601438 E1 B1 B2 B3 P1 P3...
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How to fill out date 011907
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Step 1: Start by writing the date as '01'
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Step 2: Follow it by writing '19' to represent the year 2019
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Step 3: Complete the date by writing '07' to represent the month of July
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Step 4: Finally, write '01' to represent the 1st day of the month
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What is date 011907?
Date 011907 refers to January 19, 2007.
Who is required to file date 011907?
Date 011907 may need to be filed by individuals or entities as specified by the relevant governing body.
How to fill out date 011907?
Date 011907 should be filled out according to the specific instructions provided by the governing body.
What is the purpose of date 011907?
The purpose of date 011907 may vary depending on the context in which it is being used.
What information must be reported on date 011907?
The specific information required to be reported on date 011907 will be determined by the governing body requesting the filing.
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