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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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