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CMS Manual SystemDepartment of Health & Human Services (HHS)Pub 10005 Medicare Secondary Supercenters for Medicare & Medicaid Services (CMS)Transmittal 10753Date: May 11, 2021Change Request 12176
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To fill out change request 12129, follow these steps:
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Who needs change request 12129?

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Change request 12129 may be needed by any individual, department, or entity who identifies the need for changes or modifications to be made in a particular process, system, or project.
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The change request could be initiated by a project manager, a team lead, a software developer, a business analyst, or any stakeholder responsible for managing or implementing the desired changes.
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The specific person or department who needs the change request will depend on the nature and scope of the change being requested.
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Change request 12129 is a formal document submitted to propose modifications or updates to existing processes, systems, or practices within an organization.
Individuals or teams responsible for initiating changes within their department or organization are required to file change request 12129.
To fill out change request 12129, start by providing the relevant details including the change title, description, rationale, affected areas, and any impact analysis.
The purpose of change request 12129 is to ensure that changes are documented, reviewed, and approved before implementation to maintain orderly operations.
Information that must be reported includes the change title, description, reason for the change, impact assessment, and proposed timeline for implementation.
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