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PRINTED: 01/10/2018
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 in00248377 and in00248496
01
Start by clearly identifying the issue you are complaining about
02
Provide detailed information such as date, time, and location of the incident
03
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04
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05
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Who needs complaint in00248377 and in00248496?
01
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02
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What is complaint in00248377 and in00248496?
The complaints in00248377 and in00248496 are both related to service disruptions reported by customers.
Who is required to file complaint in00248377 and in00248496?
Customers who have experienced service disruptions are required to file complaints in00248377 and in00248496.
How to fill out complaint in00248377 and in00248496?
Complaints in00248377 and in00248496 can be filled out online through the company's website or by calling the customer service hotline.
What is the purpose of complaint in00248377 and in00248496?
The purpose of complaints in00248377 and in00248496 is to document and address service disruptions experienced by customers.
What information must be reported on complaint in00248377 and in00248496?
Customers must report the date and time of the service disruption, their account number, and a description of the issue on complaints in00248377 and in00248496.
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