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DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S22612 Baltimore, MD 212441850CMCS Informational BulletinDATE:May 5, 2016FROM:Nikki
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Form Centers for Medicare is a form used to report information about individuals who received Medicare benefits.
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Employers who provide group health plan coverage to individuals with Medicare benefits are required to file Form Centers for Medicare.
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Form Centers for Medicare can be filled out electronically or by paper. Employers must provide information about the group health plan coverage offered to individuals with Medicare benefits.
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The purpose of Form Centers for Medicare is to ensure compliance with regulations and to report information about Medicare beneficiaries who are covered under group health plans.
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Employers must report information about the group health plan coverage offered, including the names and Medicare numbers of covered individuals.
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