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CMS Manual SystemDepartment of Health & Human Services (HHS)Pub 10004 Medicare Claims ProcessingCenters for Medicare & Medicaid Services (CMS)Transmittal 12699Date: June 27, 2024, Change Request 13696SUBJECT:
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How to fill out change request 13696
How to fill out change request 13696
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Access the change request form 13696
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Fill out the required fields including project name, description of change, impact analysis, proposed solution, and justification for the change
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04
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Who needs change request 13696?
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What is change request 13696?
Change request 13696 is a formal proposal to modify an existing agreement or policy within a specific organization or system.
Who is required to file change request 13696?
Individuals or departments that need to implement changes to procedures, agreements, or operational methods are required to file change request 13696.
How to fill out change request 13696?
To fill out change request 13696, complete the standardized form by providing detailed information about the proposed changes, the rationale behind them, and any relevant impact assessments.
What is the purpose of change request 13696?
The purpose of change request 13696 is to formally document and evaluate proposed changes, ensuring that they are reviewed, approved, and implemented systematically.
What information must be reported on change request 13696?
Information required on change request 13696 includes the description of the change, the justification for the change, affected parties, and the anticipated impact.
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