Assignment:

Complete the following case studies using the CSM-1500 and UB-04 forms.   

CSM-1500 form:

Appendix A: Case A-6 Carlos Clemenza pp. 570- 572

Appendix B: Case B-16: Earl Abbot pp. 648- 649

UB-04 form:

Appendix C : Case C-4: Harold Janovich pp. 666-667

                        Case-18: Tyrone Clark pp. 694-695

Assignment Expectations: 

• Length:
  • The amount of information needed for the forms
• Structure:
  • no title or reference page required
  • address each question in a numbered list
• References:
  • no references required

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