Crosswalk - Denial Notice (Spanish)

Crosswalk- Denial Notice Spanish.xlsx

Notice of Denial of Medicare Prescription Drug Coverage (CMS-10146)

Crosswalk - Denial Notice (Spanish)

OMB: 0938-0976

Document [xlsx]
Download: xlsx | pdf
2011 (old version) 2013 (new version) Type of Change Reason for Change Burden Change
Aviso de Denegación de la parte d de Medicare Cobertura de Medicamentos Recetados Aviso de Denegación de la parte d de Medicare Cobertura de Medicamentos Recetados Rev Added Spanish translation of payment adjudication timeframe language included based on regulatory changes effective 1/1/2019 No
Aviso de Denegación de la parte d de Medicare Cobertura de Medicamentos Recetados Aviso de Denegación de la parte d de Medicare Cobertura de Medicamentos Recetados Rev Capitalized the department and agency header No
















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