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Overpayment Determination Rescinded Date RAC Point of Contact Provider Name Address 1 Address 2 City, State Zip Re: Provider Name #123456789 Letter ID: XXX Issue: (Issue Name) Dear Medicare Provider,
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CGI RAC-B Rescinded refers to the rescission of the CGI RAC-B policy.
There is no specific requirement to file CGI RAC-B Rescinded as it refers to the rescission of the CGI RAC-B policy.
Since CGI RAC-B Rescinded is not a form or document, there is no specific way to fill it out.
The purpose of CGI RAC-B Rescinded is to indicate that the CGI RAC-B policy has been rescinded or revoked.
There is no specific information that needs to be reported on CGI RAC-B Rescinded as it is not a form or document.
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