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DELIVERY ROOM DEATH FORM FOR INFANTS BORN IN 20201DO NOT mail or fax this form to the CCC Data Center. This for is form internal use ONLY.NETWORK ID:*****HOSPITAL ID:****Any eligible inborn infant
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The network ID hospital ID is a unique identifier assigned to hospitals within a specific healthcare network, used to streamline billing and manage patient data.
Healthcare providers, particularly hospitals that are part of a healthcare network, are required to file the network ID hospital ID.
To fill out the network ID hospital ID, providers must complete the prescribed form with their hospital's specific network identification number and any other required details as outlined by the relevant health authority.
The purpose of the network ID hospital ID is to facilitate proper identification and coordination among healthcare providers in a network, improving billing accuracy and ensuring compliance with regulations.
The information that must be reported includes the hospital's name, location, network ID number, contact information, and any relevant administrative details.
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