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XVIII () APPENDIX XVIII OF CENTRAL SERVICES (MEDICAL ATTENDANCE) RULES FORM OF APPLICATION FOR MEDICAL CLAIMS. 97/ Med. 97
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What is med 97-b form of?
The med 97-b form is a medical claim form used by healthcare providers to submit claims for payment.
Who is required to file med 97-b form of?
Healthcare providers such as hospitals, clinics, and doctors are required to file the med 97-b form.
How to fill out med 97-b form of?
The med 97-b form must be filled out with the patient's personal information, details of the medical services provided, and the billing information.
What is the purpose of med 97-b form of?
The purpose of the med 97-b form is to request reimbursement for medical services provided to a patient.
What information must be reported on med 97-b form of?
The med 97-b form must include the patient's name, date of birth, address, insurance information, diagnosis codes, and procedure codes.
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