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HCR 220 Week 8 Checkpoint Complete a CMS-1500 Claim Form

This archive file of HCR 220 Week 8 Checkpoint Complete a CMS-1500 Claim Form includes:

Resource: Appendix C

Due Date: Day 5 [Individual forum]

Use the following data to complete the CMS-1500 claim form worksheet located in Appendix C.

If you believe information provided in the following list is insufficient to adequately fill a required field with data (for example, to supply a specific diagnosis code), indicate this by typing

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*** *** **** * ********** Complete a ******** Claim ****

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