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Form 941-SS for Gilbert Arizona: What You Should Know
Provider Code, New Provider 1 Provider Code. Patient Age, New Patient 1 Age. Diagnosis. Diagnosis Code, New Diagnosis 1 Diagnosis Code. Patient Health Plan, New Patient 1 Health Plan Code. Provider Type 1 Provider Type. Patient State, New Patient 1 State. Patient Region, New Patient 1 Region. Patient Area Code, New Patient 1 Area Code. Diagnosis Description, New Diagnosis 1 Diagnosis Description. Patient Status, Old Patient 1 Status. Patient Age, Old Patient 1 Age. Diagnosis. Diagnosis Code, Old Diagnosis 1 Diagnosis Code. Patient Health Plan, Old Patient 1 Health Plan Code. Provider Type, Old Patient 1 Provider Type. Patient State, Old Patient 1 State. Patient Region, Old Patient 1 Region. Patient Area Code, Old Patient 1 Area Code. Note: Patient Type will be set to “Health Plan” if it is a health plan for employees or independent contractors. About Patient Status, New Patient 1 This status is used to indicate the information required to determine the eligibility of an incoming patient to receive services through one of our providers. About Patient Status, Old Patient This status was intended for patients whose health conditions have improved or have stabilized. Old patients can be considered to be enrolled in Medicaid, Children's Health Insurance Program, or Medicare, or the State's primary health program. About Provider Type 1 A Provider Type is used for the specific type of physician. For example, an BEGAN, oncologist, dermatologist, gynecologist, and general practitioner are Provider Types 1, 2, 3, and 4. About Provider Type 2 A Provider Type 2 is used for a group of two providers (the same physician, two times per day). An example of a Provider Type 2 are an oncologist and a dermatologist. Note the Provider Type 2 cannot perform both a dermatological and an oncological procedure. About Provider Type 3 A Provider Type 3 can perform an ongoing or intermittent procedure, depending on the provider. The ongoing procedure can be performed every 10-30 minutes, or every few hours. An intermittent procedure can be performed anytime during the day or night. Examples of a Provider Type 3 are an anesthesiologist, a respiratory therapist, and an oncologist.
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