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Payer Sheet Medicare Part D Other Payer Amount Palatable of Contents HIGHLIGHTS Updates, Changes & Reminders PART 1: GENERAL INFORMATION Pharmacy Help Desk Information PART 2: BILLING TRANSACTION

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Start by entering the required personal information at the top of the form, such as your name, address, and social security number.

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Part 4 Paid or relates to reporting payments made to independent contractors.

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Employers who have made payments to independent contractors are required to file part 4 Paid or.

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Part 4 Paid or can be filled out by providing the details of payments made to independent contractors.

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On part 4 Paid or, information such as the name, address, and total amount paid to the independent contractor must be reported.

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