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Hospital Billing 2nd Edition by Susan Magovern,Jean Jurek
Edition 2ISBN: 978-0073520896Hospital Billing 2nd Edition by Susan Magovern,Jean Jurek
Edition 2ISBN: 978-0073520896 Exercise 6
Using the following claim data, fill in FLs 76-81 below.• Attending provider: Sammy Tonayoma, NPI 3322211165, BCBS Number BY2220
• Referring provider: Theresa Green, NPI 0876599911
• Remarks: Insured's employer: Quinnlee's Outlets, 29 Grovenor Drive, Pittsburgh, PA 15215
• Fls 35-36 overflow data: Occurrence span code M2 (Inpatient respite dates), January 13-16, 2009
• Hospital taxonomy code: 282N00000X
UB-04 Form-FLs 76-81
• Referring provider: Theresa Green, NPI 0876599911
• Remarks: Insured's employer: Quinnlee's Outlets, 29 Grovenor Drive, Pittsburgh, PA 15215
• Fls 35-36 overflow data: Occurrence span code M2 (Inpatient respite dates), January 13-16, 2009
• Hospital taxonomy code: 282N00000X
UB-04 Form-FLs 76-81
Explanation
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Hospital Billing 2nd Edition by Susan Magovern,Jean Jurek
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