Sha256: 54840dfed3126218788b3da047ef6f5924c69aa9373ce46b1a1652b1b43d5b44
Contents?: true
Size: 417 Bytes
Versions: 16
Compression:
Stored size: 417 Bytes
Contents
id definition B Signed signature authorization form or forms for both HCFA-1500 Claim Form block 12 and block 13 are on file C Signed HCFA-1500 Claim Form on file M Signed signature authorization form for HCFA-1500 Claim Form block 13 on file P Signature generated by provider because the patient was not physically present for services S Signed signature authorization form for HCFA-1500 Claim Form block 12 on file
Version data entries
16 entries across 16 versions & 1 rubygems