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DR1Confidential medical information×DR1×Rev Jul 22DR1PART A: ABOUT YOU Please complete this form in BLOCK CAPITAL letters using BLACK INKTitleFull namely address PostcodeDate of birth NHS numberDriver
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Part B healthcare professionals refer to the segment of the Medicare program that provides coverage for outpatient services, including certain doctor services, preventive services, outpatient hospital services, durable medical equipment, and some home health care.
Healthcare providers who bill Medicare for covered services, such as physicians, practitioners, and certain outpatient providers, are required to file Part B healthcare professional claims.
To fill out Part B healthcare professional claims, providers need to complete the appropriate claim form (CMS-1500 for individual practitioners) and provide necessary patient information, services rendered, diagnosis codes, and their National Provider Identifier (NPI).
The purpose of Part B healthcare professional is to provide Medicare beneficiaries with coverage for a wide range of medical services and supplies that are necessary for maintaining health and well-being in outpatient settings.
Information that must be reported includes the provider's NPI, patient’s demographic details, services provided with associated codes (CPT/HCPCS), diagnosis codes (ICD-10), and any applicable modifiers.
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