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10/23/2020 087901 19MED121303 39631 Negotiated Agreement between theFairborn Education Association and theFairborn City Board of EducationEFFECTIVE JULY 1, 2020, THROUGH JUNE 30, 2021TABLE OF CONTENTS
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19-med-12-1303 is a specific form used in the medical field, typically related to Medicare or Medicaid reporting requirements.
Health care providers and organizations that engage in services eligible for reimbursement under Medicare or Medicaid must file 19-med-12-1303.
To fill out 19-med-12-1303, follow the instructions provided by the issuing authority carefully, ensuring that all required fields are completed with accurate information.
The purpose of 19-med-12-1303 is to collect necessary data for the administration and reimbursement of medical services under Medicare or Medicaid programs.
The information required includes patient details, service dates, treatment codes, and any other relevant medical billing data.
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