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Appendix B1 2024 Submission Form for Other Payer Requests for Other
Quality Payment Program (QPP)/Merit-Based Incentive Payment System (MIPS) (CMS-10621)
Appendix B1 2024 Payer Initiated Submission Form
OMB: 0938-1314
OMB.report
HHS/CMS
OMB 0938-1314
ICR 202311-0938-006
IC 250664
Appendix B1 2024 Submission Form for Other Payer Requests for Other
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