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Program Operations Manual System (POMS)
Effective Dates: 01/27/2005 - Present
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HI 01005.810
CMS-2384, Third Party Premium Billing Request
To view this form, go to CMS-2384.
To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0601005810
HI 01005.810 - CMS-2384, Third Party Premium Billing Request - 01/27/2005
Batch run:
05/08/2018
Rev:
01/27/2005