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New York State Electronic Medicaid System UB04 Billing
This document is customized for SSHSP/PSHSP providers and should be used by the provider as an instructional, as well as a reference tool.
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December 1 Table Formatting Information
Dec 1, 2024 Dates should be formatted as YYYY-MM-DD. Table 8A is a report of children with disabilities evaluated, July 1, 2012 through June 30, 2013.
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2010 Instruction 1040
Jan 1, 2011 6, enter the applicable amount below on line 7a (and line 7b if applicable), and go to line 8. $5,000, if under age 50 at the end of 2010.
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