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Eligibility and Claims
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CMS-1500

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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