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Administered Federal External Review Form1MAXIMUS Federal Services needs the information on this form to review your medical claim. We may not be able to do the review without this information. In
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Step 1: Obtain the HHS-administered federal form.
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Step 2: Read the instructions provided with the form thoroughly.
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Step 7: Submit the completed form to the appropriate HHS-administered federal office or through the specified method (mail, online submission, etc.).

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Individuals who are eligible for benefits or services provided by the HHS-administered federal programs.
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Healthcare providers or organizations participating in HHS programs.
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Entities or individuals involved in research or data collection associated with HHS-administered federal initiatives.
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Applicants or beneficiaries of federal grants or funding administered by HHS.
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Anyone required to disclose certain information or complete specific forms as mandated by HHS regulations.
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HHS-administered federal refers to federal programs that are managed and overseen by the Department of Health and Human Services (HHS).
Entities that receive funding or benefits from HHS-administered federal programs are required to file.
To fill out HHS-administered federal forms, entities must provide accurate and detailed information about their use of funds and services received.
The purpose of HHS-administered federal programs is to provide funding and resources to support various health and human services initiatives.
Entities must report detailed financial information, program outcomes, and compliance with federal regulations on HHS-administered federal forms.
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