NL 00722.000 Other Computer Generated Notices

Subchapter Table of Contents
Section Latest
Transmittal
NL 00722.007Form CMS-L1626-TR Notice of Group Billing ArrangementTN 7 07-95
NL 00722.010Form CMS-L1601-TR (Notice of Enrollment in Part A State Buy-in or Part A Group Payer)TN 7 07-95
NL 00722.012Form CMS-L1617-TR (Notice of Deletion from Part A State Buy-in or Part A Group Payer)TN 7 07-95
NL 00722.014Form CMS-L1900-TR (Notice of Part A State Buy-in/Part A Group Payer Enrollment and Part A State Buy-In/Part A Group Payer Deletion)TN 7 07-95
NL 00722.015Form SSA-L9752-C1 Notice of Suspension of Age-72 BenefitsTN 7 07-95
NL 00722.017Form CMS-L325 Notice of Termination of Medical Insurance BenefitsBASIC 07-81
NL 00722.019Form CMS-L326 Notice of Termination of Medical Insurance BenefitsBASIC 07-81
NL 00722.021Form CMS-L327 Notice of Termination of Medical Insurance BenefitsBASIC 07-81
NL 00722.023Form CMS-L328 Notice of Termination of Medical Insurance BenefitsBASIC 07-81
NL 00722.025Form CMS-1585 Notice of Medical Insurance Enrollment and Premium DeductionBASIC 07-81
NL 00722.027Form CMS-1589 Medical Insurance Termination NoticeBASIC 07-81
NL 00722.029Form CMS-2653 Hospital Insurance Termination NoticeBASIC 07-81
NL 00722.031Form HCFA-2654 Hospital and Medical Insurance Termination NoticeBASIC 07-81
NL 00722.033Form CMS-2687 Notice of Medicare EnrollmentBASIC 07-81
NL 00722.035Form CMS-2688 Notice of Termination Of Hospital Insurance BenefitsBASIC 07-81
NL 00722.037Forms CMS-L623 Notice Regarding Collection of Medical PremiumsTN 5 08-92
NL 00722.039Form MAP LetterTN 6 11-92
NL 00722.043Advance Notice - Age 16 
NL 00722.100Dual Entitlement Conversion Letter - Auxiliary or Survivor Rate Terminated 
NL 00722.102Notice to Beneficiary of Non-Increase of Frozen Minimum PIA 
NL 00722.155Medicare - Only Beneficiary NoticesTN 10 05-10
NL 00722.160T2 Application Cover Letter With Attestation SummaryTN 9 02-07