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DocuSign Envelope ID: 5AC21FF88ABE40ECBD35785AB3F923E3EXHIBIT E GENERAL OFFER OF PRIVACY TERMS School District of Fort Atkinson 1. Offer of Terms Provider offers the same privacy protections found
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The provider offers form SAME is a document that healthcare providers use to report information related to offers made to patients and insurers regarding their services and costs.
Healthcare providers who participate in specific healthcare programs and offer services to patients are required to file the provider offers form SAME.
To fill out the provider offers form SAME, providers need to provide their identification information, details of the services offered, pricing, and any contractual agreements with payers.
The purpose of the provider offers form SAME is to ensure transparency in healthcare pricing and to help patients and insurers understand the cost of services offered by healthcare providers.
Providers must report details such as their name, address, National Provider Identifier (NPI), description of services, and pricing information on the provider offers form SAME.
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