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Assigning the benefit A patient assigns their right to a Medicare benefit to you by signing a completed assignment of benefit form. Use the approved assignment of benefit form for manual claims. For online claiming you can print the assignment of benefit statement from your practice management software.
Use this form to claim assigned benefits for electronically transmitted claims.
The Medicare DB2 form is used to document a patients medical history, including treatments received, medications prescribed, and any allergies or medical conditions that the patient may have.
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