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CMS Manual SystemDepartment of Health &
Human Services (HHS)Pub 10004 Medicare Claims ProcessingCenters for Medicare &
Medicaid Services (CMS)Transmittal 12685Date: June 13, 2024,
Change Request 13658SUBJECT:
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How to fill out change request 13658
How to fill out change request 13658
01
Obtain the Change Request Form 13658.
02
Fill in the basic details such as requester's name, contact information, and date of submission.
03
Clearly describe the change being requested in the appropriate section.
04
Provide reasoning or justification for the change request.
05
Include any supporting documentation or evidence if necessary.
06
Review the form for accuracy and completeness before submitting it for approval.
Who needs change request 13658?
01
The project team or stakeholders involved in the project where the change is being requested would need Change Request 13658 to document and approve the proposed changes.
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What is change request 13658?
Change request 13658 is a formal proposal to modify a specific aspect of a project or system.
Who is required to file change request 13658?
The project manager or the designated change control board is required to file change request 13658.
How to fill out change request 13658?
Change request 13658 should be filled out with detailed information about the proposed change, including the rationale and potential impacts.
What is the purpose of change request 13658?
The purpose of change request 13658 is to formally document and evaluate proposed changes before they are implemented.
What information must be reported on change request 13658?
Change request 13658 should include a description of the change, the reason for the change, the expected benefits, and any associated risks.
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