POMS Reference

DI 40510: Work Issues

TN 14 (08-92)

Exhibit 1   Medicare Disallowance Notice

Exhibit 2   Medicare Permanent Award Notice

Exhibit 3   Medicare Interim Award Notice (before CDR)

Exhibit 4   Medicare Final Award Notice (after CDR)

Exhibit 5   Medicare Coverage Termination Notice (CDR Results in Finding of Not Disabled)

DI 40510.185 - EXHIBIT 1 - MEDICARE DISALLOWANCE NOTICE

G-DI 40510.185-1

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DI 40510.185 - EXHIBIT 2 - MEDICARE PERMANENT AWARD NOTICE

G-DI 40510.185-2

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DI40510.185 - EXHIBIT 3 - MEDICARE INTERIM AWARD NOTICE

G-DI 40510.185-3

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DI 40510.185 - EXHIBIT 4 - MEDICARE FINAL AWARD NOTICE
                           (AFTER CDR)

G-DI 40510.185-4

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DI 40510.185 - EXHIBIT 5 - MEDICARE COVERAGE TERMINATION
                           NOTICE (CDR RESULTS IN FINDING OF
                           NOT DISABLED)

G-DI 40510.185-5

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