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DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard Baltimore, Maryland 212441850 CENTER FOR DRUG AND HEALTH PLAN CHOICE DATE:August 29, 2008TO:All
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Reassignplannotice-20090829-finaldoc is a document used for notifying certain entities about the reassignment of a specific plan or policy, typically related to healthcare or insurance.
Providers who wish to reassign their rights to receive payments under a specific plan are required to file the reassignplannotice-20090829-finaldoc.
To fill out reassignplannotice-20090829-finaldoc, you need to provide the necessary identification details, specify the reassignment, and include signatures from both the provider and the entity receiving the payments.
The purpose of reassignplannotice-20090829-finaldoc is to formally communicate the reassignment of payment rights under a healthcare plan to ensure compliance with regulations.
The document must report the provider's information, details of the reassigned entity, consent for reassignment, and any relevant identifiers for both parties involved.
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