“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.
H24e_Diagnosis_Code
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Common values for ICD-9:
1 2 3 4
Common values for ICD-10:
A B C D |
Key what you see. Commas and spaces are optional.
Dashes are required as they indicate a range.
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H24e_Diagnosis_Code
–Examples:
As it appears on form:
|
Acceptable entries:
|
|
1,2,3,4
|
1,2,3,4
|
1234
|
1-4
|
1-4
|
|
1 2
|
1 2
|
12
|
A, B, C
|
A, B, C
|
ABC
|
H24f_Charge
|
Punctuation and spaces are optional. Do not include
dollar signs ($). All charge figures must be at least three digits.
|
H24f_Charge -Examples:
As it appears on form:
|
Acceptable entries:
|
||
$107.60
|
107.60
|
107 60
|
10760
|
0
|
0.00
|
0 00
|
000
|
1,795.65
|
1,795.65
|
1795 65
|
179565
|
68--
|
68.00
|
68 00
|
6800
|
68 -
|
68.00
|
68 00
|
6800
|
H24g_Days_Units
H24g_Days_Units
|
Common values:
1, 01, 1.0 |
Key what you see, INCLUDING PUNCTUATION. This field
should have data so if it appears to be missing, check that the form is lined
up properly.
|
H24h_EPSDT
H24h_EPSDT
|
Common values:
Y N |
Key what you see.
|
H24i_Qual
H24i_Qual
|
Common values:
1D, ZZ, G1
|
Key what you see.
 |
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