Accepting New Patients Indicator UPIN (Unique Physician Identifi- cation Number) Participating Physicians Directory

Accepting New Patients Indicator UPIN (Unique Physician Identification Number) Participating Physicians Directory

CMS-10091 accepting new pts template

Accepting New Patients Indicator UPIN (Unique Physician Identifi- cation Number) Participating Physicians Directory

OMB: 0938-0905

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ACCEPTING NEW PATENTS INTERFACE”


Template


Top of Form


Individual Provider Detail Page



Provider UPIN: A00000


Provider: Name: Smith, John A.


Address: 123 Main Street


City: Anywhere


Specialty: 00


Participating: YES




Credentials: MD




State: US




Board Cert: UNKOWN




New Patients: OptionButton1 YES


NO




Zip Code: 00000-0000


Carrier No.: 00000


State License: US

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Timeline


June: CBC, OFM and HMS to meet and approve initial specifications.

June: HMS to initiate coding and design.

July: HMS to submit prototype for initial testing.

July: CBC to test prototype and provide response.

July: HMS to submit tool for testing.

July: CBC to test tool and implemented.

Aug: CMS to post a “note to physicians” to be posted in the UPIN Registry Newsletter informing Physicians to update information via tool.

File Typeapplication/msword
File Title“ACCEPTING NEW PATENTS INTERFACE”
AuthorCMS
Last Modified ByCMS
File Modified2003-05-30
File Created2003-05-28

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