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BHS LRP:Employer Support FormEmployer: Please return completed form to the applicant. Applicant: Upload the completed and signed form with your applicationBHSLRP Applicant\'s Name:BHS LRP Applicant\'s
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OMB No. 0938-0787 is a reference number assigned by the Office of Management and Budget (OMB) for a specific collection of information related to healthcare programs; expiration dates vary based on the approval cycle.
Entities involved in Medicare and Medicaid services are generally required to file under OMB No. 0938-0787, including healthcare providers, suppliers, and other stakeholders in the healthcare ecosystem.
To fill out OMB No. 0938-0787, follow the provided instructions in the associated forms, ensuring all relevant data is accurately entered and that the form is submitted on time.
The purpose of OMB No. 0938-0787 is to collect necessary data for the administration of Medicare and Medicaid programs and ensure compliance with federal regulations.
The information required typically includes demographic data, service details, and billing information pertinent to Medicare and Medicaid healthcare services.
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