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01/03/2018PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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It is a formal statement of dissatisfaction made by a customer or client.
Any individual or entity who has a grievance or issue to report.
The complaint form can be filled out online or submitted in person at the designated office.
The purpose is to bring attention to an issue or concern in order to seek resolution or redress.
Details of the complaint, contact information, relevant dates, and any supporting documentation.
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