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PRINTED: 08/07/2017 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION
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Locate the complaint investigation form.
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Find the section labeled 'Event ID'.
03
Enter the unique identifier for the event in the space provided.
04
Ensure that the Event ID is accurate and corresponds to the correct complaint.
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The complaint investigation event ID is a unique identifier assigned to a specific complaint investigation event for tracking and reference purposes.
Individuals or entities involved in a complaint investigation, including complainants and respondents, are required to file the complaint investigation event ID.
To fill out the complaint investigation event ID, one must provide the required details such as the unique ID number, names of involved parties, and the nature of the complaint, following the guidelines set forth by the relevant authority.
The purpose of the complaint investigation event ID is to ensure organized tracking, management, and resolution of complaints within an oversight system.
Information to be reported includes the event ID, parties involved, description of the complaint, dates of filing, and any relevant documents or evidence.
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