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Billing Code Data (UB-04) CSV Template
ICR 202412-0920-018 · OMB 0920-0666 · Object 151178201.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
|---|---|
| File Title | Billing Code Data (UB-04) CSV Template |
| Conversion State | partial |