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If you are a provider who performs diagnostic radiology or laboratory services in an outpatient setting of a hospital, please note the following: Effective September 1, 2001, due to a change in Medicare requirements, IBC and Keystone Health Plan East KHPE ; began requiring additional information on the HCFA 1500 claim form from all providers who perform diagnostic radiology or laboratory services in an outpatient setting of a participating hospital. Claims for diagnostic radiology or laboratory services submitted after September 1, 2001, must include, in Field Locator 32, the Medicare provider number of the hospital where the services were rendered. The name and address of the hospital will continue to be required, also in Field Locator 32. Please submit the facility name, address, city state zip, and Medicare provider number 10 digits zero filled ; within the lines of Box 32 left justified ; . Please refer to the example below. These data, which are required by Medicare, will provide us with more complete information related to members' care. Please refer to the enclosed hospital Medicare Number listing for the hospital Medicare number specific to your claim, for instance, niaid.
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