Billing Provider Name. Enter the name of the Billing Provider for all encounters. (See Instructions for Reporting Financial Fields in Encounter Data at xxx.xxxxxxxx.xxx/xxxxx/xxxxx. Click on Reporting Requirements). If the Billing Provider is a specialized licensed residential facility also report the LARA license facility number (See Instructions for Reporting Specialized Residential Facility Details at xxx.xxxxxxxx.xxx/xxxxx/xxxxx. Click on Reporting Requirements).
Appears in 6 contracts
Samples: Amendment to the Agreement Between Michigan Department of Health and Human Services and Pihp, Agreement Between Michigan Department of Health and Human Services and Pihp, Agreement Between Michigan Department of Health and Human Services and Pihp
