UB04 Billing Instructions Guide - Maine
Feb 25, 2021 · UB 04 Billing Instructions Guide. Date of Publication: 02/25/2021. Document Number: UM00065. Version: 11.0 Revision History. Version Date Author Action/Summary of Changes Status 1.0 01/11/2010 Maria Smith Changes accepted and made final. Final 1.3 8/12/2010 K. Goldhammer Edits made based on State review meeting. ................
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