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Health Financial Systems
DEKALB MEMORIAL HOSPITAL
In Lieu of Form CMS255210
This report is required by law (42 USC 1395g; 42 CFR 413.20(b)). Failure to report can result in all interim FORM APPROVED
payments
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To fill out time 4:45 pm, follow these steps:
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Start by writing the number '4' to indicate the hour.
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Write the number '45' to indicate the minutes.
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The filled-out time should look like '4:45 pm'.
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What is time 445 pm?
The time 4:45 pm refers to 15 minutes before 5:00 pm.
Who is required to file time 445 pm?
Individuals or businesses who have a deadline or appointment at 4:45 pm are required to file time 445 pm.
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To fill out time 4:45 pm, simply write it as 4:45 pm in the designated space.
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The purpose of specifying a time such as 4:45 pm is to indicate a specific moment in the day.
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The information that must be reported on time 4:45 pm would depend on the context of the deadline or appointment.
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