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Directory Results for DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS ' COMPENSATION DFSF5DWC90 (UB04) B Completion Instructions Hospitals shall complete the DFSF5DWC90 (UB04) according to the Field Attributes and Notes, pursuant to the National Uni Billing Commi to DEPARTMENT OF FINANCIAL SERVICES Division of Workers ' Compensation DFSF5DWC90 (UB04) C Completion Instructions Ambulatory Surgical Centers shall complete the DFSF5DWC90 (UB04) according to the Field Attributes and Notes, pursuant to the National Uni