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Hello and welcome to our video regarding completing the ABN script. Completing an ABN is simple for your office. We are going to break it down for you and make sure to pay close attention to the information given and what is required for a valid ABN. There are 10 blanks for completion in the ABN, and they are labeled letter A through letter J. Your entries in these blanks may be typed or hand-written and they should be large enough to allow ease in reading. First lets talk about the header information Blanks A through C. These blanks must be completed by the notifier prior to delivering the ABN. The notifier is the entity that is issuing the ABN. As the notifier you must place your name, address, and telephone number in blank A. Next we have Blank B, the Patients Name. You must indicate the patients name exactly how it appears on their red, white and blue Medicare card. Next we have Blank C, Identification Number. The use of this field is optional. Notifiers may enter an identificat