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CMS Manual SystemDepartment of Health & Human Services (HHS)Pub 10004 Medicare Claims ProcessingCenters for Medicare & Medicaid Services (CMS)Transmittal 11317Date: March 29, 2022Change Request 12696

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How to fill out change request 12696

01

Open the change request form 12696

02

Fill in the details of the requested change such as the description, reason for the change, impact assessment, and priority level

03

Include any supporting documents or information that may be necessary for the change request

04

Submit the filled out change request form to the designated change management team or authority for review and approval

Who needs change request 12696?

01

The person or team needing change request 12696 is likely the one who has identified a need for a change in a particular process, system, or project. This could be a project manager, team leader, or department head who is responsible for overseeing the area in which the change is needed.

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What is change request 12696?

Change request 12696 is a formal request to modify a specific aspect of a project or process.

Who is required to file change request 12696?

Any stakeholder involved in the project or process may be required to file change request 12696.

How to fill out change request 12696?

Change request 12696 can be filled out by providing detailed information about the requested change, its impact, and the justification for it.

What is the purpose of change request 12696?

The purpose of change request 12696 is to document and track changes that are requested during a project or process.

What information must be reported on change request 12696?

Information such as the nature of the change, the reason for the change, the expected impact, and any supporting documentation must be reported on change request 12696.

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