Patient Provider Dispute Resolution Requirements Related to Surprise Billing: Part II (CMS-10853)

OMB 0938-1470

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10853 Requirements Related to Surprise Billing; Part II; Patient-Provider Dispute Resolution Process Form and Instruction
CMS-10853 PPDR Supporting Statement_Final Version (July 2023) 508'ed.pdf Supporting Statement A
CMS-10853 Response to public comment.pdf Supplementary Document
Requirements Related to Surprise Billing; Part II; Patient-Provider Dispute Resolution Process Form and Instruction