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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 K Part A Voluntary Refund Form
Immediate Recoupment Request Form – Electronic/E-mail
JK Part A Immediate Recoupment Request Form
JK Applying for an Extended Repayment Schedule
Jurisdiction K Medicare Part A MSP Overpayment Request Form
Financial Contact Information Form
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