Document
Notificación previa de NO-cobertura al beneficiario (ABN)
ICR 201506-0938-012 · OMB 0938-0566 · Object 56740401.
This document may belong to an older filing. More recent activity for OMB 0938-0566:
Document Viewer [pdf]
Status: Original and derived artifacts are available for this document.
Download: pdf
Loading document viewer…
Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Notificación previa de NO-cobertura al beneficiario (ABN) |
| Subject | Spanish version of Original Medicare Beneficiary Liability Notice |
| Author | CMS/CM/MEAG/DAP |
| File Modified | 2011-05-26 |
| File Created | 2011-05-26 |
| Conversion State | complete |