Document
Detailed Explanation of Non-coverage
ICR 202407-0938-011 · OMB 0938-0953 · Object 144477901.
Document Viewer [docx]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is queued and waiting for the next worker pass. (priority 70 · next 2026-05-09 06:23:50)
Download: Source copy (docx)
Loading document viewer…
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Detailed Explanation of Non-coverage |
| Subject | MA plan end of covered services notice |
| File Created | 2024-11-17 |
| Conversion State | partial |