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SEC Form 5UNITED STATES SECURITIES AND EXCHANGE COMMISSIONER 5
Check this box if no longer subject to
Section 16. Form 4 or Form 5
obligations may continue. See
Instruction 1(b).OMB Number:32350362Estimated
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What is de oxy?
De oxy is a form used to report information about oxygen equipment suppliers to the Centers for Medicare & Medicaid Services (CMS).
Who is required to file de oxy?
Suppliers of oxygen equipment are required to file de oxy.
How to fill out de oxy?
De oxy can be filled out online or submitted through the mail using the CMS-855S form.
What is the purpose of de oxy?
The purpose of de oxy is to ensure that oxygen equipment suppliers are complying with Medicare regulations and providing necessary equipment to patients.
What information must be reported on de oxy?
Information such as supplier name, address, contact information, and details about the equipment provided must be reported on de oxy.
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