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Health Financial Systems HENDRICKS REGIONAL HEALTH In Lieu of Form CMS255210 This report is required by law (42 USC 1395g; 42 CFR 413.20(b)). Failure to report can result in all interim FORM APPROVED
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The wwwmedicarefacilitiescom provider ID 150005 refers to Hendricks Regional Health, which is a healthcare facility recognized for Medicare services.
Healthcare providers and facilities that offer services covered by Medicare and have been assigned this specific provider ID must file the necessary documentation.
To fill out the provider ID forms, collect the necessary patient information, billing details, and services provided, then complete the forms as per CMS guidelines.
The purpose of the provider ID is to identify and facilitate billing and payment processes for Medicare covered services provided by Hendricks Regional Health.
Information required includes provider details, service types, billing information, and patient demographics relevant to the services rendered.
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