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Please refer to the following examples: UB-04 claim forms (paper) To submit the NDC, unit of measure, and quantity for paper UB-04 claim forms, please enter the information for each field as follows: EDI requirements: Professional claims (837 Professional) When submitting the NDC, unit of measure, and quantity for professional claims, the identification loop is 2410, and: Please refer to the following table for examples: Additional information If you have any questions or need additional information, please call Cigna Customer Service at 1.800.88Cigna (882.4462). Dose:450mcg Nightly Monday-Friday https://www.tiktok.com/api/img/?itemId=7667385240767188255&location=0&aid=1988 Vitamin B12 (Cobalamin) Optineuron Injection - N Chimanlal Enterprises

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