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    • [DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal

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      Limited to full scope inpatient hospital and inpatient mental health services only, for inmates in county correctional facilities who receive those services off the grounds of the correctional facility. F4 Restricted No ACIP Title (XIX/Title XXI). ... Aid Codes Master Chart (aid codes) ...

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    • [DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy

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      navcompt form 3065 (3pt) (rev. 2-83) 1. date of request. 2. for . admin. use only. approval of this leave is . not valid . without control no,

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    • [PDF File]BAPTIST BISTRO CAFE - e | Baptist Health Care

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      BAPTIST BISTRO CAFE Week of Monday September 23 Monday Soup: Homestyle Chicken and Rice Soup 1.69 Meatloaf Soup 1.69 ... Baco Cheddar Steak w/White BBQ Sauce 3.29 Side Dish: Balsamic Grilled Yellow Squash 1.09 Lemon Roasted Asparagus 1.09 Penne, Spinach and Gorganzola Gratin 1.09

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    • [PDF File]Medicare Part B Immunization Billing: Seasonal Influenza ...

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      Medicare Part B Immunization Billing: MLN Educational Tool Seasonal Influenza Virus, neumococcal, and epatitis B Page 2 of 14 ICN 006799 August 2018. ... Independent and Hospital-Based Renal Dialysis Facility (RDF) 72X. Comprehensive Outpatient Rehabilitation Facility (CORF) 75X.

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    • [PDF File]Apply Online for Medicare — Even if You Are Not Ready to ...

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      inpatient hospital care and certain follow-up services. If you’re eligible, you should apply for Part A in the three months before you turn age 65, even if you’re covered by other health insurance. ... Apply Online for Medicare — Even if You Are Not Ready to Retire

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    • [PDF File]NAVPERSCOM INSTRUCTION 1650 - United States Navy

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      NAVPERSCOMINST 1650.3D 19 Apr 2016 3 must be submitted in time to be processed and presented prior to the member’s transfer. d. Awards Presented at the Time of Retirement.

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    • [PDF File]Application for Lump-Sum Death Payment

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      Social Security Administration. APPLICATION FOR LUMP-SUM DEATH PAYMENT* Form Approved OMB No. 0960-0013. Page 1. TOE 120/145/155 I apply for all insurance benefits for which I am eligible under Title II (Federal Old-Age, Survivors, and Disability Insurance) of the Social Security Act, as presently amended, on the named deceased's Social ...

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    • [PDF File]Return of Organization Exempt From Income Tax 2018

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      Form 990 Department of the Treasury Internal Revenue Service Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the …

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