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Medicare Claims Processing Manual chapter 25 – Centers for …

Secondary Identifier Qualifiers: 0B – State License Number. 1G – Provider UPIN
Number … 03/31/2016 9450. R2922CP 04/03/2014 Medicare Claims Processing
 …

Effective: January 01, 2016 – New Mexico Workers Compensation …

Effective January 1, 2016 …… (0B=State License Number; 1G = Provider. UPIN
Number; G2 = Provider Commercial Number; LU = Location Number; ZZ = …

Institutional Claim (UB-04) Field Descriptions

REF01=1G (means provider UPIN number),. REF02=12345 (other providers
secondary identifier). FL 58 a,b,c. INSURED'S NAME: required if other insurance
– …

UB-04 Claim Form Instructions – thehealthplan.com

Attending Provider Name and. Identifiers. Enter NPI of individual in charge of
patient care. If UPIN number is entered, qualifier must be 1G. Enter the last and
first …

Claims Procedures (PDF) – ValueOptions

Reviewed 10/1/2013, 10/1/2014, 3/31/2016. Revised 10/1/2013, 10/1/2014, 3/31/
2016 …… 1G Provider UPIN Number. G2 Provider Commercial Number.

TriZetto EZClaim Premier User Guide

TriZetto Clearinghouse. Manual. EZClaim Medical Billing Software. March 2016
…. required by your payer.. OB-State License Number.. 1G-UPIN Number …

Claims Processing Manual – Mercy Care Plan

Mar 5, 2016 … March 2016. Claims Processing. Manual. Page 2. www.MercyCarePlan.com. 2.
March 2016. TABLE OF ….. 1G – Provider UPIN Number.

005010X224A1 – UnitedHealthcareOnline.com

Mar 27, 2011 … … Number: 1.3. January-2016 … 01/20/2016. Minnesota ….. Identification Profile
with the following priority: 1G – Provider UPIN. Number, XX …

91 – Kymmis.com

Jul 10, 2015 … P.O. Box 2016. Frankfort, KY 40602-2016. 1-800-205- ….. Enter a 1G and the
unique physician identification number (UPIN) followed by the last …

PT91 v1.0 – Finance and Administration Cabinet

Apr 15, 2014 … P.O. Box 2016. Frankfort, KY 40602-2016. 1-800-205- ….. Enter a 1G and the
unique physician identification number (UPIN) followed by the last …