Document
Advance Beneficiary Notice of Noncoverage
ICR 202511-0938-004 · OMB 0938-0566 · Object 163737800.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Advance Beneficiary Notice of Noncoverage |
| Subject | Original Medicare Beneficiary Liability Notice |
| Keywords | ABN, Advance, Beneficiary, Notice, of, Noncoverage, liabity, notice, CMS-R-131 |
| Author | CMS/CM/MEAG/DAP |
| Last Modified By | Writer |
| File Modified | 2025-11-18 |
| File Created | 2026-04-18 |
| Conversion State | complete |