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Send completed form to:Batch enrollment changehealthcare.com Fax: (615) 8853713ClaimsPayerInformation CPI 2459PayerID Payer Type SMDC0 DC Medicare Part B (J12 High mark) ProfessionalEstDays 14MultiCH

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What is smdc0 dc?

SMDC0 DC stands for Statement of Material Disclosures and Conflict of Interest.

Who is required to file smdc0 dc?

Officials and employees in government agencies are required to file SMDC0 DC.

How to fill out smdc0 dc?

SMDC0 DC can be filled out online through the designated government website or manually using the official form.

What is the purpose of smdc0 dc?

The purpose of SMDC0 DC is to disclose any material information or conflict of interest that may arise within the scope of an individual's work in government.

What information must be reported on smdc0 dc?

Information such as financial interests, assets, liabilities, and business relationships must be reported on SMDC0 DC.

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