TARGETED CASE MANAGEMENT ENROLLMENT TIPS
Provider Type Code: Enter the two-digit code for the appropriate provider type. Select one of the following codes appropriate for case management billing providers: Advanced Practice Registered Nurse - 30. Registered Nurse - 31 . Social Worker and ES Service Coordinator - 32. Practice Type Code Enter 30. Category of Service Code: Enter 75. Specialty Code: Leave Blank. License Information: For ... ................
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