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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:06/10/2015FORM
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What is 012288 provider?
012288 provider is a form used to report information about healthcare providers for billing purposes.
Who is required to file 012288 provider?
Healthcare facilities, insurance companies, and other entities involved in healthcare billing are required to file 012288 provider.
How to fill out 012288 provider?
To fill out 012288 provider, you need to provide information about the healthcare provider's services, fees, and other relevant details on the form.
What is the purpose of 012288 provider?
The purpose of 012288 provider is to ensure accurate billing and reimbursement for healthcare services.
What information must be reported on 012288 provider?
Information such as name, address, services provided, fees charged, and insurance information must be reported on 012288 provider.
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