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Form(s) you'll need:
Medicare Credit Balance Report Form and Instructions (CMS-838)
Medicare Credit Balance Report (CMS-838) Excel Spreadsheet
Jurisdiction 6 Part A Voluntary Refund Form
Immediate Recoupment Request Form – Electronic/E-mail
J6 Part A Immediate Recoupment Request Form
J6 Applying for an Extended Repayment Schedule
Jurisdiction 6 Medicare Part A MSP Overpayment Request Form
Financial Contact Information Form
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