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Santa Cruz Port District 135 5th Avenue Santa Cruz, CA 95062 831.475.6161 831.475.9558 Fax www.santacruzharbor.orgPORT COMMISSIONERS: Toby Goddard Dennis Smith Reed Geisreiter Stephen Reed Darren
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The 9558 fax refers to a specific fax form used for reporting certain healthcare-related information, typically associated with the Medicare program.
Healthcare providers and organizations that participate in Medicare may be required to file the 9558 fax for reporting purposes.
To fill out the 9558 fax, providers must complete all required sections accurately, ensuring that they include the necessary patient and service information as specified in the instructions.
The purpose of the 9558 fax is to facilitate the accurate reporting of healthcare services and ensure compliance with Medicare regulations.
Information that must be reported on the 9558 fax includes patient demographics, service details, provider identification, and any additional required data as specified by Medicare guidelines.
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