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Eligibility and Claims


All claims MUST have your Individual NPI number and group location NPI in the appropriate fields.

Your Individual number must be entered in box number 24J of the CMS-1500 form. If you are a non-physician practitioner and do not have a medical license number, please use your social security number in box 19. If you are an ancillary provider, please provide your group NPI# in box 24J.

Graphic Hcfa1500b19

Your group location NPI# number must be entered in box number 33A

Graphic Hcfa1500b33

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