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To:Applicants Re:ProviderBased DesignationsDear Applicant: Certain provider applicants must submit documentation regarding provider based status, pursuant to the April 7, 2001, hospital outpatient
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Complaint and request forms are used to report issues, concerns, or make a formal request for action.
Anyone who wants to report a complaint or make a request for action is required to fill out the necessary forms.
Complaint and request forms can be filled out online or submitted in person at the appropriate office.
The purpose of filing a complaint or request form is to bring attention to an issue or request action to be taken.
Complaint and request forms typically require detailed information about the issue being reported, as well as contact information for the individual filing the complaint.
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