Testing Billing Code Calculator
Client Valant ID
*
Number of Testing Sessions with Client
*
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1
2
3
Test Administration
Select Date for First Testing Session
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Month
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Day
Year
Date
Enter Start and Stop Times for First Testing Session
Hour Minutes
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PM
AM/PM Option
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Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Select Date for Second Testing Session
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Month
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Day
Year
Date
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Hour Minutes
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PM
AM/PM Option
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Hour Minutes
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PM
AM/PM Option
Total 0.0
Select Date for Third Testing Session
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Month
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Day
Year
Date
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Hour Minutes
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PM
AM/PM Option
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until
Hour Minutes
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PM
AM/PM Option
Total 0.0
Test Scoring and Reporting
Number of Scoring & Reporting Sessions with Client
*
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1
2
3
4
5
Select Date for First Scoring and Reporting Session
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Month
/
Day
Year
Date
Enter Start and Stop Times for First Scoring and Reporting Session
Hour Minutes
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PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Select Date for Second Scoring and Reporting Session
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Month
/
Day
Year
Date
Enter Start and Stop Times for Second Scoring and Reporting Session
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Select Date for Third Scoring and Reporting Session
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Month
/
Day
Year
Date
Enter Start and Stop Times for Third Scoring and Reporting Session
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Select Date for Fourth Scoring and Reporting Session
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Month
/
Day
Year
Date
Enter Start and Stop Times for Fourth Scoring and Reporting Session
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Select Date for Fifth Scoring and Reporting Session
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Month
/
Day
Year
Date
Enter Start and Stop Times for Fifth Scoring and Reporting Session
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Totals
Total Hours for Testing and Scoring
Rounded 30 min Blocks Minus First One
Calculation to Determine if Rounding Needs Adjustment (Value of 0.50)
Number of Base Codes for Testing (96138 or 96136)
Number of Add-on Codes for Testing (96139 or 96137)
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