Medicare Current Beneficiary Survey (MCBS):(CMS Number CMS-P-0015A)

Medicare Current Beneficiary Survey (MCBS)

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Medicare Current Beneficiary Survey (MCBS):(CMS Number CMS-P-0015A)

OMB: 0938-0568

Document [pdf]
Download: pdf | pdf
Created 07/28/01

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TO REVIEW OR MAKE CORRECTIONS OR ADDITIONS TO:

2. Person Roster
3. Health Insurance Plans
4. Providers
5. Conditions
6. All Visits (Review Only)
7. Visits / Stays
8. Other Medical Expenses
9. Prescribed Medicines
10. Statement Charge Bundles
11. Reimbursement / Refund
99. Return to Questionnaire


File Typeapplication/pdf
Authorhubbard_r
File Modified2010-03-31
File Created0000-00-00

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