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To:IEP Medical Primary Care Providers (PCP's)From: Date: Subject:IEP Provider Relations July 22, 2019Global Quality P4P Program Historical Data Form UPDATEEffective immediately, IEP has updated the
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Gather all the necessary historical data that needs to be updated.
02
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Start filling out the form by entering the required information in each field.
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Double-check the accuracy of the data you entered before moving on to the next section.
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Who needs historical data form update?

01
Individuals or organizations responsible for maintaining and updating historical data records.
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Historical data form update refers to updating the previous information to reflect any changes or updates.
Any individual or entity that has submitted historical data in the past and needs to make changes or updates is required to file the historical data form update.
To fill out historical data form update, you need to provide the required information requested in the form and submit it to the appropriate authority.
The purpose of historical data form update is to ensure that the information provided is accurate and up-to-date for record-keeping and compliance purposes.
The information that must be reported on historical data form update includes any changes or updates to the previously submitted data, along with any supporting documentation.
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