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PediatricLiverTransplantCandidateRegistrationWorksheet
PREAPPROVED:O.M.B.NO.09150157ExpirationDate:07/31/2020
Note:TheseworksheetsareprovidedtofunctionasaguidetowhatdatawillberequiredintheonlineTIEDIapplication.
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What is hic?
HIC stands for Health Insurance Claim. It is a form used by healthcare providers to claim payment for services provided to patients.
Who is required to file hic?
Healthcare providers are required to file HIC for services provided to patients in order to claim payment from insurance companies.
How to fill out hic?
HIC form can be filled out by providing patient information, details of services provided, and the billing information. It is important to ensure all information is accurate.
What is the purpose of hic?
The purpose of HIC is to facilitate the reimbursement process for healthcare services provided to patients by healthcare providers.
What information must be reported on hic?
HIC must include patient information, details of services provided, diagnosis codes, procedure codes, and billing information.
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