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CPDP VERSION 5 PAYER SHEET **GENERAL INFORMATION** Date: 4/15/02 Payer Name: ND Medicaid Plan Name/Group Name: NA Switch: WebMD Processor: North Dakota Medicaid Effective as of:4/15/02 Version/Release
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Start by writing the month abbreviation or name. For example, if the date is March, write "Mar" or "March" depending on the format you are using.
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Next, write the day number. In this case, the day is 1. So, you will write "01" as the day.
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Lastly, add the suffix "nd" to indicate that it is the 2nd day of the month.

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