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Technical requirements for Medicare NDC entry: Format: 11-digit NDC in 5-4-2 configuration Electronic claim (837P): enter in Loop 2410, Segment LIN, with qualifier N4 Paper claim (CMS-1500): enter in Box 19 Unit of measure qualifier: UN for units, ML for milliliters, or GR for grams Quantity reported: the actual amount administered, not the full vial size Commercial payer NDC requirements work differently

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Long term IV protocols at Riverstone Wellness include periodic lab monitoring to ensure liver, kidney, and electrolyte status remain optimal

What makes B12 deficiency tricky is that it can fly under the radar, sometimes causing no symptoms at all, if its a mild deficiency