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Medicare: Supporting Statement For Request For Medical Review Information For Part B Outpatient Bills

IC 113963 under ICR 199106-0938-004 · OMB 0938-0549.

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MEDICARE: SUPPORTING STATEMENT FOR REQUEST FOR MEDICAL REVIEW INFORMATION FOR PART B OUTPATIENT BILLS
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-9027 No No


    

30,403 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 4,649,831 0 0 -4 0 4,649,835
Annual IC Time Burden (Hours) 2,324,915 0 0 -2 0 2,324,917
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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