CMS006634 | Centers for Medicare & Medicaid Services

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Form #: CMS 838
Form Title: Medicare Credit Balance Reporting Requirements
Revision Date: 10/01/2003
O.M.B. #: 0938-0600
O.M.B. Expiration Date: 05/31/2012
CMS Manual: N/A
Special Instructions: N/A

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CMS 838 (36KB) [PDF, 792KB]

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