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EXHIBIT 138 (Rev. 134, Issued: 022015, Effective: 021315, Implementation: 021315)IMPALA Physician Review Worksheet 5 Day Review60 Day Evernote: A separate Worksheet must be completed by the RIO Physician
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What is exhibit 138?
Exhibit 138 is a form required by regulatory authorities for reporting specific information.
Who is required to file exhibit 138?
Certain entities or individuals as mandated by regulatory requirements are required to file exhibit 138.
How to fill out exhibit 138?
Exhibit 138 must be completed with the relevant information as per the instructions provided by the regulatory authorities.
What is the purpose of exhibit 138?
The purpose of exhibit 138 is to provide regulatory authorities with specific information that they require.
What information must be reported on exhibit 138?
Exhibit 138 typically requires information such as financial data, ownership details, and other relevant information.
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