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Health Financial SystemsMCRIF32FOR METROSOUTH MEDICAL CENTERING LIEU OF FORM CMS255296(04/2005) PREPARED 5/19/2011 8:45 FORM APPROVED OMB NO. 09380050THIS REPORT IS REQUIRED BY LAW (42 USC 1395g;
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What is intermediary use only?
Intermediary use only is when a product is intended for use only by industry professionals or in a business-to-business setting.
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Companies or manufacturers who produce goods that are solely intended for industry professionals or business-to-business use are required to file intermediary use only.
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To fill out intermediary use only, companies must provide detailed information about the product and its intended use for business purposes only.
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The purpose of intermediary use only is to ensure that certain products are not distributed or used for personal use, but rather for professional or business purposes only.
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Information such as product details, intended use, distribution channels, and verification methods must be reported on intermediary use only forms.
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