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CMS-1501-FC Addendum D1. Signature Package 10/28/05 Addendum D1. Payment Status Indicators for the Hospital Outpatient Prospective Payment System Indicator Item/Code/Service A service furnished to

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Addendum D1 is a supplemental form that provides additional information or updates to a previously filed document.

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Individuals or entities who need to provide additional information or make revisions to a previously submitted document may be required to file addendum D1.

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The purpose of addendum D1 is to ensure that any changes or additional information related to a previously filed document are properly documented and disclosed.

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The information reported on addendum D1 may vary depending on the nature of the original document and the specific updates or corrections being made. Typically, it will include details about the changes being made and the reasons for those changes.

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