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CMS-1500 Form

Block 24 A-J

QuestionAnswer
Block 24 a Dates of Service
Block 24 b Place of Service
Block 24 c EMG
Block 24 d Procedures, Services or Supplies.
Block 24 e Diagnosis Pointer
Block 24 f $ Charges
Block 24 g Days or Units
Block 24 h EPSDT Family Plan
Block 24 i ID Qualifier
Block 24 j Rendering Provider ID Number
Created by: Leiannlg
Popular Medical sets

 

 



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