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5010 Clarification Manual for Medicaid Institutional Data Clarifications for the 837 Institutional Claim, V. 5010 Effective Date: 04/01/2023 This document is intended as a companion to the National

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Data clarifications for form refer to the process of providing additional information or correcting any inaccuracies on a form.

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Individuals or entities who have submitted a form with errors or missing information are required to file data clarifications.

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Data clarifications for form can typically be filled out online or by submitting a physical form with the correct information.

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The purpose of data clarifications for form is to ensure that all information provided is accurate and up to date.

What information must be reported on data clarifications for form?

Individuals must report any errors or missing information from the original form when filing data clarifications.

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