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Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced APM Determinations (Eligible Clinician I
ICR 201911-0938-009 · OMB 0938-1314 · Object 96489801.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Submission Form for Eligible Clinician and APM Entity Requests for Other Payer Advanced APM Determinations (Eligible Clinician I |
| Author | CMS |
| File Created | 2021-01-15 |
| Conversion State | partial |