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SBC Template Standard Format
ICR 202202-1210-005 · OMB 1210-0147 · Object 118375401.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | SBC Template Standard Format |
| Subject | Provides a fillable Summary of Benefits and Coverage template to provide answers to key questions and information about common m |
| Author | CMS |
| File Created | 2022-10-22 |
| Conversion State | partial |