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| MSBCBS Professional | ||
| Claim Input | ||
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National Standard Format Version 2.0
- includes all updates
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| Updates: DA0
Primary (Source of Payment) - updated 3/2/01
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| Updates: BA1
(12&18), DA0 Primary (10), DA0 Secondary (5), FA0 (49), XA0 (20) - updated
2/16//01 |
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| Claim Rejection Reasons | ||
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NSF Claim Edits and Rejection
Reasons
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| MSBCBS Facility | ||
| Claim Input | ||
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UB-92 Version 5.0 Flat File format
- includes all updates
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| Updates: RT 30 (Source of Payment) - updated 3/2/01 |
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| Claim Rejection Reasons | ||
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UB-92 Claim Edits and Rejection
Reasons
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