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Posting Date: 10/11/2013
EDI E-mail Inquiry Form Top
EDI E-mail Inquiry Form CMS does not allow National Government Services to accept PHI or PII via e-mail. Please do not include any PHI/PII. The EDI Support Services team does not need this information to assist with 5010, 999, 277CA, and [...]
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Posting Date:
OverpaymentResults-Part A
Immediate Recoupment Request Form - Electronic/E-mail Automatic Response Thank you for using the National Government Services Immediate Recoupment Request Form - Electronic/E-mail. Your request has been received and will be processed within [...]
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Posting Date: 08/11/2017
Overpayment-Home Health and Hospice
Immediate Recoupment Request Form - Electronic/E-mail Complete this online form to initiate a request for immediate recoupment of overpayment(s). All fields are required and the form must be completed in its entirety prior to submitting [...]
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