Forms must be keyed in all CAPITAL
LETTERS.
“Key what you see” means to literally key what you see. You are trying to replicate the form as it was submitted; you cannot fix errors.
H19_Local_Use
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Key what you see.
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EOB attached.
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Corrected claim #7168
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Patient complained of dizziness.
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H20_Outside_Lab
Only allowed values:
Y N |
Y=Yes N=No
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