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MAXIMUS Provider (4275) File Layout Revised 06/09/08Data Format for Michigan Provider File Header RecordRecord Size 500No. Data ItemSizeTypePositionReq. Format1Filler10A/N110YBlanks2Company Name30A1140YLeft
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The Maximus Provider 4275 file is a document used to report specific information about healthcare providers.
Healthcare providers who have contracts with Maximus may be required to file the provider 4275 file.
To fill out the Maximus Provider 4275 file, providers must input specific data required by Maximus, such as patient visit information and billing details.
The Maximus Provider 4275 file is used to track and monitor healthcare provider activities, including patient appointments, services provided, and billing information.
Information that must be reported on the Maximus Provider 4275 file includes patient demographics, diagnosis codes, procedure codes, service dates, and payment details.
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