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PRINTED: 07/09/2024
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 smoky ridge health and?
Smoky Ridge Health and is a form used to report health care coverage information to the IRS.
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Employers who provide health care coverage to their employees are required to file Smoky Ridge Health and.
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The purpose of Smoky Ridge Health and is to report health care coverage information to the IRS and ensure compliance with the Affordable Care Act.
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Information such as the employer's name, address, and tax identification number, as well as details about the health care coverage offered.
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