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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15532911/13/2015FORM
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Unsubstantiated due to lack refers to a claim or assertion that cannot be verified or supported with sufficient evidence or documentation.
Individuals or entities that have made claims which cannot be adequately supported with evidence are required to file unsubstantiated due to lack.
To fill out unsubstantiated due to lack, provide details of the claim being made, specify the lack of evidence, and indicate any attempts made to obtain the necessary documentation.
The purpose of unsubstantiated due to lack is to formally document claims that cannot be verified, ensuring transparency and maintaining an accurate record of assertions.
Information that must be reported includes the nature of the claim, reasons for the lack of substantiation, any evidence available, and relevant timelines.
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