Matchlthe description of the claims content with the appropriate CMS 1500 Claim Form box. Professional...

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Matchlthe description of the claims content with the appropriate CMS 1500 Claim Form box. Professional providing health care services on the claim Employer Identification Number Federal Tax ID number Employer Identincation Number Professional providing health care services on the claim Rendering provider Facility type code 1G Skilled nursing facility ICD-10 codes utilized ICD Indicator "0" od codes utilized Resubmission code "8" POS code Void prior claim NGY Matchlthe description of the claims content with the appropriate CMS 1500 Claim Form box. Professional providing health care services on the claim Employer Identification Number Federal Tax ID number Employer Identincation Number Professional providing health care services on the claim Rendering provider Facility type code 1G Skilled nursing facility ICD-10 codes utilized ICD Indicator "0" od codes utilized Resubmission code "8" POS code Void prior claim NGY

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