Get the free 1821039702 3B ORTHOPAEDICS,P.C.. 1821039702 3B ORTHOPAEDICS,P.C.
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23 Jul 2009 ... Code describing the type of health care provider that is being assigned an NPI. Codes are:. 1 (Person): individual human being who.
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How to fill out 1821039702 3b orthopaedicspc 1821039702
How to fill out 1821039702 3b orthopaedicspc 1821039702:
01
Start by entering your personal information such as your name, address, and contact details in the designated fields.
02
Next, provide your insurance information, including your policy number, group number, and the name of your insurance provider.
03
Fill in the details of the medical facility or provider you are seeking orthopaedic care from. This may include their name, address, and contact information.
04
Specify the date of service for which you are submitting this form.
05
Provide a detailed description of the orthopaedic treatment or service you received. Include relevant medical codes, procedure names or numbers if available, and any additional necessary information.
06
Indicate the charges for the orthopaedic treatment or service you received, including any co-pays or deductibles.
07
Sign and date the form, verifying the accuracy of the information you provided.
Who needs 1821039702 3b orthopaedicspc 1821039702?
This form is typically required by insurance companies, medical billing departments, or healthcare providers. It may be necessary for patients who have undergone orthopaedic treatment or services and need to submit a claim for reimbursement or to process payment through their insurance coverage. Additionally, this form may be needed by healthcare professionals seeking authorization or documentation for the orthopaedic care they provided to their patients.
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What is 1821039702 3b orthopaedicspc 1821039702?
This number is a unique identifier for a specific orthopaedic medical practice.
Who is required to file 1821039702 3b orthopaedicspc 1821039702?
The orthopaedic medical practice or entity associated with the identifier is required to file.
How to fill out 1821039702 3b orthopaedicspc 1821039702?
The form must be filled out with all relevant financial and operational information pertaining to the orthopaedic practice.
What is the purpose of 1821039702 3b orthopaedicspc 1821039702?
The purpose of the form is to report financial and operational data of the orthopaedic practice for regulatory and compliance purposes.
What information must be reported on 1821039702 3b orthopaedicspc 1821039702?
Financial data, operational data, and any other relevant information regarding the orthopaedic practice.
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