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Model Disclosure Notice Regarding Patient Protections Against Surprise Billing Instructions for Providers and Facilities
ICR 202109-1210-001CF · OMB 0938-1401 · Object 114554901.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Model Disclosure Notice Regarding Patient Protections Against Surprise Billing Instructions for Providers and Facilities |
| Author | CMS/CCIIO |
| Last Modified By | Acrobat PDFMaker 21 for Word |
| File Modified | 2021-06-28 |
| File Created | 2021-06-28 |
| Conversion State | complete |