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Directory Results for Box 138006 Sacramento, CA 958138006 Fax: (916) 6054280 INDEPENDENT BILLING REVIEW FINAL DETERMINATION April 1, 2015 IBR Case Number: Claim Number: Claims Administrator: Provider Name: Employee Name: Disputed Codes: CB140001906 Date of - dir to Box 138006 Sacramento, CA 958138006 Fax: (916) 6054280 INDEPENDENT BILLING REVIEW FINAL DETERMINATION April 2, 2015 IBR Case Number: Claim Number: Claims Administrator: Provider Name: Employee Name: Disputed Codes: CB150000020 Date of - dir

Box 138006 Sacramento, CA 958138006 Fax: (916) 6054280 INDEPENDENT BILLING REVIEW FINAL DETERMINATION April 1, 2015 IBR Case Number: Claim Number: Claims Administrator: Provider Name: Employee Name: Disputed Codes: CB140001906 Date of - dir
Box 138006 Sacramento, CA 958138006 Fax: (916) 6054280 INDEPENDENT BILLING REVIEW FINAL DETERMINATION April 2, 2015 IBR Case Number: Claim Number: Claims Administrator: Provider Name: Employee Name: Disputed Codes: CB150000020 Date of - dir