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Allen transfers marketable securities with an adjusted basis of $120,000, fair market value of $300,000, for 85% of the stock of Heron Corporation. In addition, he receives cash of $40,000. Allen recognizes a capital gain of $40,000 on the transfer.
CMS-1500 Form
A standard form used by healthcare providers to submit insurance claims to Medicare and other health insurance providers.
Authorized Person's Signature
The signature of an individual who has been officially empowered to perform a particular action or represent a certain authority.
Administrative Simplification Compliance Act (ASCA)
Identifies limited situations where paper claim forms may be submitted for payment (rather than electronic submission); signed into law on December 27, 2001, as Public Law 107-105.
CMS-1500
A standard form used in the United States to submit healthcare claims to Medicare and Medicaid, as well as many private insurers and managed care organizations.
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