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Printed: 12/13/2024 Form Approved OMB No. 09380391Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA
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Gather all necessary personal information including name, date of birth, and address.
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Individuals seeking healthcare services at Daughters.
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Atlas Healthcare at Daughters is a healthcare program designed to provide various medical services and benefits to eligible individuals and families.
Employers with a certain number of employees and those offering health insurance coverage to their workers are required to file Atlas Healthcare at Daughters.
To fill out Atlas Healthcare at Daughters, gather the required information, complete the necessary forms accurately, and submit them according to the provided instructions.
The purpose of Atlas Healthcare at Daughters is to ensure that individuals and families have access to necessary healthcare services and to comply with health insurance regulations.
Information that must be reported includes employee details, coverage amounts, and any applicable dependents.
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