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This change was made on May 8, 2018. See latest version.
Text removed
Text added

HI 01005.810: CMS-2384, Third Party Premium Billing Request

2 changes
← * →
  • Effective Dates: 01/27/2005 - Present
  • Effective Dates: 05/08/2018 - Present
  • HI 01005.810 CMS-2384, Third Party Premium Billing Request
  •  View PDF Version
  • To view this form, go to CMS-2384.
 x 
← This means that the line
Effective Dates: 01/27/2005 - Present
was removed and
Effective Dates: 05/08/2018 - Present
was added – in other words, the "Effective Dates" line at the top of the document has been updated to reflect that the new version is effective as of the date the change was made.
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