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HIPAA ADMINISTRATIVE SIMPLIFICATION (NON-PRIVACY/SECURITY) COMPLAINT FORM
ICR 202509-0938-028 · OMB 0938-0948 · Object 163063401.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | HIPAA ADMINISTRATIVE SIMPLIFICATION (NON-PRIVACY/SECURITY) COMPLAINT FORM |
| Author | HHS/CMS |
| Last Modified By | Wilson, Malcolm (CMS/OSORA) |
| File Modified | 2025-09-27 |
| File Created | 2025-06-17 |
| Conversion State | pending |