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Does Medicare require a qualifier ID in Item 17 that is associated with the legacy UPIN number on the CMS 1500 (08/05 version) claim form?

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Does Medicare require a qualifier ID in Item 17 that is associated with the legacy UPIN number on the CMS 1500 (08/05 version) claim form?

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You will need to submit qualifier ID “1G” in Item 17a of the revised CMS 1500 (08/05) version claim form. The six digit alpha-numeric unique physician identification number should be provided along with this qualifier ID.

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