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STATE OF MICHIGAN ADMINISTRATIVE HEARING SYSTEM FOR THE DEPARTMENT OF COMMUNITY HEALTH P.O. Box 30763, Lansing, MI 48909 (877) 833-0870; Fax: (517) 373-4147 IN THE MATTER OF: Docket No. 14-013761
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Peterson Chad HHS denied is a form used to report denied claims or services by the Department of Health and Human Services.
Healthcare providers and organizations are required to file Peterson Chad HHS denied forms.
Peterson Chad HHS denied forms can be filled out online or submitted through the mail.
The purpose of Peterson Chad HHS denied is to document and report any denied claims or services.
Information such as patient details, service or claim denied, reason for denial, and any supporting documentation must be reported on Peterson Chad HHS denied forms.
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