Hearing Aid Billing Guidelines - eMedNY

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APPENDIX A CLAIM SAMPLESAPPENDIX ACLAIM SAMPLESThe <strong>eMedNY</strong> <strong>Billing</strong> Guideline Appendix A: Claim Samples contains an image of a claim with sample data.HEARING AID/AUDIOLOGY SERVICESVersion 2011 - 01 6/1/2011Page 8 of 9

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APPENDIX A CLAIM SAMPLESHEARING AID/AUDIOLOGY SERVICESVersion 2011 - 01 6/1/2011Page 9 of 9

Page 1 and 2: New York State150003 Billing Guidel
Page 3 and 4: TABLE OF CONTENTSTABLE OF CONTENTS1
Page 5 and 6: CLAIMS SUBMISSION2. Claims Submissi
Page 7: REMITTANCE ADVICE3. Remittance Advi

Hearing Aid Billing Guidelines - eMedNY

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