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ANSI Reference: (Only if Physical Location is checked) Billing Provider Name = 2010AA Loop, N301 (Address), N302 (Suite), N401 (City), N402 (State), and N403 (Zip Code)
Facility Reference
A Facility must be associated to a charge or set as a Default Facility in the Office reference in order to appear on claims.
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ANSI Reference: Service Facility Location = 2310C Loop, NM109
Laboratory Reference
Labs need to be submitted on claims when the office performs laboratory services such as blood work.
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