BILLING FACILITY FEES
353.000 CMS-1450 (UB-04) Data Specifications Manual. ... Electronic claims may require modifiers in addition to National Standard Codes. Please refer to the Section II of your program’s provider manual to determine the appropriate modifiers. ... (CMS-1500 or CMS-1450) C. Copy of the Medicare Explanation of Benefits (EOMB) reflecting Medicare ... ................
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