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G-1B Form SEP 2016 FINAL - SAMPLE.doc - dshs texas

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The G-1B Specimen Submission Form is a document used by the Texas Department of State Health Services for submitting laboratory specimens. It requires detailed information from the submitter, patient, ordering physician, and payor source to ensure proper identification and billing for laboratory tests. The form includes sections for specimen type, patient identifiers, insurance details, and test requests, emphasizing the need for accurate data to avoid specimen rejection or billing issues.

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