WebFeb 24, 2024 · Performance Measures (TriWest) Number of Grant Community Providers; ... Organization's primary phone number; Organization's fiscal year-end date; Unique Entity Identifier (UEI) and System for Award Management (SAM) ... The NOSA is not an authorization to begin performance (to the extent that it allows charging to State awards … WebOct 1, 2024 · Social Security number (SSN) Last 4 digits for SSN with preceding 5 zeros (i.e., 00000XXXX) 2. Insert the VA referral/authorization number in the following claims forms in specific locations: CMS 1500: Box 23 Prior Authorization Number field CMS UB04: Box 63 Treatment Authorization Codes field EDI – two options 2300 – REF (G1) Prior ...
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Request and Coordinate Care - Community Care - Veterans Affairs
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