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PRINTED: 03/18/2020
FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES
CENTERS FOR MEDICARE & MEDICAID SERVICES
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA
IDENTIFICATION
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What is complaint in00322423- substantiated?
Complaint in00322423- substantiated refers to a complaint that has been proven to be valid and true.
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The person or entity who has been affected by the issue being complained about is required to file the complaint in00322423- substantiated.
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To fill out the complaint in00322423- substantiated, provide detailed information about the issue being complained about, including evidence or supporting documents.
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The purpose of complaint in00322423- substantiated is to address and resolve an issue or problem that has been proven to be valid.
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On complaint in00322423- substantiated, one must report detailed description of the issue, evidence supporting the complaint, contact information, and any relevant dates.
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