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The last day that the corresponding incidence code or prevalence span code was relevant. If event date span is only one day, value has to be equal to the value from the connected Event Code Powerful Date.
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On company tracking claims, the payment total is the lump sum that can not be attributed to Anybody beneficiary compensated for the supplier.
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For sub-capitated encounters from the sub-capitated entity that's not a sub-capitated community provider, report the total quantity the sub-capitated entity paid out the company with the company. Report a null value On this discipline In the event the supplier is often a sub-capitated community company.
This recognize informs you that every one or Component of the overpayment over a return you submitted was applied to other federal taxes you owe.
Don’t incorporate individual or fiscal information and facts like your Countrywide Insurance policies selection or charge card particulars.
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A code indicating the affected individual's position as of the last day the claim covers. Values made use of are from UB-04. This is often also often called affected individual discharge standing. A legitimate list of codes is often acquired at
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