Ch 15 Case Studies #1

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Ch 15 Case Studies #1

Prepare the claim for this case by completing the appropriate fields in the CMS-1500 form provided. Accuracy is important.

Billing Provider: Valley Associates, PC
NPI: 1476543215

Employer ID Number: 16-1234567

Address: 1400 West Center Street, Toledo, OH 43601-0213
Telephone: 555-967-0303
Rendering Provider: Christopher M. Connolly, MD
NPI: 8877365552
Assignment: Accepts
Signature: On File (01/01/2029)

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Ch 15 Case Studies #3

Prepare the claim for this case by completing the appropriate fields in the CMS-1500 form provided. Accuracy is important.Billing Provider: Valley Associates, PCNPI: 1476543215Employer ID Number: 16-1234567Address: 1400 West Center Street, Toledo, OH 43601-0213Telephone: 555-967-0303Rendering Provider: Christopher M. Connolly, MDNPI: 8877365552Assignment: AcceptsSignature: On File (01/01/2029)
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Prepare the claim for this case by completing the appropriate fields in the CMS-1500 form provided. Accuracy is important. Billing Provider: Valley Associates, PCNPI: 1476543215Employer ID Number: 16-1234567Address: 1400 West Center Street, Toledo, OH 43601-0213Telephone: 555-967-0303Rendering Provider: Christopher M. Connolly, MDNPI: 8877365552Assignment: AcceptsSignature: On File (01/01/2029)
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Prepare the claim for this case by completing the appropriate fields in the CMS-1500 form provided. Accuracy is important. Billing Provider: Valley Associates, PCNPI: 1476543215Employer ID Number: 16-1234567Address: 1400 West Center Street, Toledo, OH 43601-0213Telephone: 555-967-0303Rendering Provider: Christopher M. Connolly, MDNPI: 8877365552Assignment: AcceptsSignature: On File (01/01/2029)

Ch 10.1

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Ch 15 Case Studies #1

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Ch 10.1

Case 7.4 From the Patient Information Form

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Case 7.3 From the Patient Information Form

Case 7.2 From the Patient Information Form

Ch 16 Case Studies #10

Ch 8.1 Claim Form

Ch 15 Case Studies #1

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