Notice of Denial of Medical Coverage (or Payment) (NDMCP) (CMS-10003)
ICR 202211-0938-002
OMB: 0938-0829
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0829 can be found here:
Forms and Documents
Document Name | Status |
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Form |
Modified |
Supporting Statement A | 2022-11-16 |
IC Document Collections
IC ID | Document Title | Status |
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8626 |
|
Modified | |