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PHARMACY POLICY STATEMENT Kentucky Medicaid DRUG NAME BILLING CODE BENEFIT TYPE SITE OF SERVICE ALLOWED COVERAGE REQUIREMENTSLIST OF DIAGNOSES CONSIDERED NOT MEDICALLY NECESSARYCopaxone (Latimer acetate)

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What is site of service allowed?

Site of service allowed refers to the location where a healthcare service was provided.

Who is required to file site of service allowed?

Healthcare providers or facilities are required to file site of service allowed.

How to fill out site of service allowed?

Site of service allowed is typically filled out on a claim form or billing statement.

What is the purpose of site of service allowed?

The purpose of site of service allowed is to ensure accurate reimbursement and to track where healthcare services are being provided.

What information must be reported on site of service allowed?

Information such as the address, facility name, and type of service provided must be reported on site of service allowed.

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