Document

Detailed Notice of Discharge

ICR 201005-0938-006 · OMB 0938-1019 · Object 17504101.

Document Viewer [doc]

Status: Original and derived artifacts are available for this document.

Download: doc | pdf | html

Primary: htmlSource: application/octet-stream
Loading document viewer…

Document Metadata

Record metadata
application/octet-stream
Detailed Notice of Discharge
Detailed Notice of Hospital Discharge
Inpatient, appeal, hospital, discharge
CMS/CPC/MEAG/DAP
Writer
2010-01-13
2026-10-27
complete