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Submitter Action Request Form

Note: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material which is copyrighted by the American Medical Association (AMA). You are forbidden to download the files unless you read, agree to and abide by the provisions of the copyright statement. Read the copyright statement now (you will be linked back to here).

Attention All Electronic Submitters: There is a new form available on the Web site for electronic requests called the “Submitter Action Request Form.” This form should be used for new requests and any changes for existing submitters. It is located at: http://www.empiremedicare.com/omnipro/connectivityform/mc1086.htm. External Link

Posted: 11/22/2006

CPT codes, descriptions, and other data only are copyright 2006 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS Apply.

 

 

   
 
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