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PRINTED: 04/07/2022
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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How to fill out complaint in00375888 - substantiated
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What is complaint in00375888 - substantiated?
Complaint in00375888 - substantiated is a formal expression of dissatisfaction with a specific issue that has been found to have merit or validity.
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The individual or organization directly affected by the issue in complaint in00375888 - substantiated is required to file the complaint.
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To fill out complaint in00375888 - substantiated, detailed information regarding the issue, the impact, and any supporting evidence must be provided in the designated form or format.
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The purpose of complaint in00375888 - substantiated is to formally address and resolve a valid issue or concern that has been identified.
What information must be reported on complaint in00375888 - substantiated?
Information such as the nature of the complaint, the parties involved, the desired resolution, and any supporting documentation must be reported on complaint in00375888 - substantiated.
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