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PM-330 Sterilization Consent Form Tips Reminders for Successful Billing Name of procedure. Fields 2 6 13 and 20 require the name of the procedure. Field 28 must be present month/day/year. Date must be on or after the sterilization date. Note These instructions must be followed exactly or the Consent Form will be returned and reimbursement delayed. A completed PM 330 Sterilization Consent Form must accompany all claims directly related to the ster.

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