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Submission Form for Other Payer Requests for Other Payer Advanced APM Determinations (Payer Initiated Submission Form)
ICR 202307-0938-005 · OMB 0938-1314 · Object 133383101.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Submission Form for Other Payer Requests for Other Payer Advanced APM Determinations (Payer Initiated Submission Form) |
| Keywords | Submission, Form, for, Other, Payer, Requests, for, Other, Payer, Advanced, Alternative, Payment, Model, Determinations, (Payer, |
| Author | HHS/CMS |
| Last Modified By | Writer |
| File Modified | 2022-10-25 |
| File Created | 2026-08-22 |
| Conversion State | complete |