HI 00630.180 List of Exhibits - Medicare Outside U.S.

  • Exhibit 1—Form CMS-1739

    Exhibit 2—Form CMS-40F

    Exhibit 3—Form CMS-40B

Exhibit 1—CMS-1739

G-HI 00630.180-1

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Exhibit 2—CMS-40F

G-HCFA-40F-1

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G-HCFA-40F-2

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Exhibit 3—CMS-40B

G-HCFA-40B

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To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0600630180
HI 00630.180 - List of Exhibits - Medicare Outside U.S. - 05/08/2008
Batch run: 01/27/2009
Rev:05/08/2008