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CMS 40B
Form #. CMS 40B Form Title. Application for Enrollment in Medicare - Part B (Medical Insurance) Revision Date. 2023-06-30 O.M.B. # O.M.B. Expiration Date.
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APPLICATION FOR ENROLLMENT IN MEDICARE PART B
WHEN DO YOU USE THIS APPLICATION? Use this form: If youre in your Initial Enrollment Period (IEP) and live in. Puerto Rico. You must sign up for Part B
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Medicare
This transmittal introduces Chapter 40, Hospital and Hospital Health Care Complex Cost Report,. Form CMS-2552-10, which contains instructions for the completion
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