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To:CSF Life Members and Principal Medallion RecipientsFrom: Mrs. Dedekind (room 732) and Mrs. Herrick (room 733) Contact Info: SherylDedekian cusd.com & Jenny Herrick cusd.com Re: CSF Life Members
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It is a form used to collect and report medical identity information.
Healthcare providers and facilities are required to file the form.
You can fill out the form online or manually by providing the required medical identity information.
The purpose is to accurately report medical identity information for patient care and billing purposes.
Patient demographics, medical history, insurance information, and diagnosis codes must be reported.
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