| Wednesday, January 07, 2009 |
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| Claims Forms: CMS-1500 |
All claims MUST have your Health Partners location number
and your medical license number in the appropriate fields.
Your medical license number must be entered in box number 19
of the CMS-1500 form. If you are a non-physician practitioner
and are not granted a medical license number, please use your
social security number in box 19. If you are an ancillary provider,
please leave box 19 blank. |
| Your location number must be entered in box
number 33.
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| Print
line by line instructions (PDF document). |
| 215-991-4350
• Provider Helpline •
1-888-991-9023 |
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To view PDF documents, you must have Acrobat Reader installed.
Click the button to download it for free. |
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