HEALTHCARE 123
Pima Medical Institute
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HEALTHCARE 123 QUALIFIER CODES FOR THE CMS-1500 CLAIM FORM
- Exam (elaborations) • 6 pages • 2023
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Box 11b - Other Claim ID 
The following qualifier and accompanying identifier has been designated for use: 
Y 
4 
Property Casualty Claim 
Number 
Box 14 - Date of Current Illness, Injury, or 
Pregnancy (LMP) 
Enter the applicable qualifier to identify which date is being reported. 
43 
1 
Onset of Current Symptoms or 
Illness 
48 
4 
Last Menstrual Period 
Box 15 - Other Date 
Enter the applicable qualifier to identify which date is being reported. 
45 
4 
Initial Treatment 
30 
4 
Latest Visit...
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HEALTHCARE 123 PRACTICE ASVAB spring 2023
- Other • 0 pages • 2023
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HEALTHCARE 123 PRACTICE ASVAB spring 2023
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