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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.
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Individuals or entities that have made claims which cannot be adequately supported with evidence are required to file unsubstantiated due to lack.
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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.
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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.
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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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