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CMS Manual SystemDepartment of Health & Human Services (HHS)Pub 10004 Medicare Claims ProcessingCenters for Medicare & Medicaid Services (CMS)Transmittal 4181Date: December 14, 2018Change Request
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To fill out change request 11064, follow these steps:
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Access the change request form on the company's intranet or project management system.
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Provide your contact information, including name, email address, and phone number.
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Clearly state the change request number (11064) in the designated field.
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Specify the reason for the change request in detail, providing any necessary background information.
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Clearly define the desired outcome or proposed solution for the change.
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Identify any potential risks or challenges associated with implementing the change.
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Attach any relevant documents or supporting materials that may help evaluate the change request.
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Submit the completed change request form for review and approval by the appropriate stakeholders.
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Monitor the status of the change request and provide any additional information or clarification if requested.
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Keep track of any updates or decisions made regarding the change request for future reference.

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Change request 11064 may be needed by various individuals or departments involved in the project, including:
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- Project managers
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- Team members
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- Stakeholders
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- Clients or customers
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- Quality assurance personnel
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- Change control boards
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Anyone who identifies a need for a change in the project scope, requirements, timeline, or deliverables may initiate change request 11064.
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Change request 11064 is a formal proposal submitted to request changes to a project, system, or process.
The project manager or team lead is typically required to file change request 11064.
Change request 11064 should be filled out with details about the requested change, its impact, and justification.
The purpose of change request 11064 is to document and track proposed changes to ensure proper evaluation and implementation.
Information such as the requested change, reason for change, impact analysis, and implementation plan must be reported on change request 11064.
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