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X12 defines and maintains transaction sets that set up the data written content exchanged for distinct company applications and, in some instances, implementation guides that explain the usage of a number of transaction sets linked to a single business enterprise goal or use case. The diagrams on the following internet pages depict several exchanges among trading companions.
Warn: Benefits have already been believed, when the actual services have been rendered, more payment will likely be considered based upon the submitted claim.
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Lacking/incomplete/invalid provider identifier for your company who interpreted the diagnostic exam.
The affected person wasn't residing in an extended-time period treatment facility throughout all or Element of the support dates billed.
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Did not comprehensive the assertion 'Homebound' within the assert to validate no matter whether laboratory services have been executed in the home or in an establishment.