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claim form

   Also found in: Medical, Legal, Encyclopedia, Wikipedia, Hutchinson 0.04 sec.
ThesaurusLegend:  Synonyms Related Words Antonyms
Noun1.claim form - a form to use when filing a claim
form - a printed document with spaces in which to write; "he filled out his tax form"
Translations

claim form nsolicitud f
claim form claim n (gen) → formulaire m de demande
claim form claim nAntragsformular nt
claim form n (gen) → modulo di richiesta;
(for expenses) → modulo di rimborso spese

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? Mentioned in ? References in periodicals archive
 
When billing a carrier for the cost of returning a patient to the operating room for management of a complication, you should use modifier 78 on the claim form.
Q: Can we bill a glucose charge on the same claim form as therapy and prosthetics, or does the glucose need to be on a separate claim?
Each proof of Administrative Expense must conform substantially to the claim form that has been approved by the Bankruptcy Court.
 
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