APPENDIX 6 Certified IDR Enity Written Determination
No Surprises Act: IDR Process
APPENDIX 6 Certified IDR Enity Written Determination
OMB: 1210-0169
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pdf| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | Appendix 6: Certified IDR Entity’s Written Decision of Payment Determination Data Elements |
| Subject | Surprise Billing |
| Author | Employee Benefits Security Administration - United States Depart |
| File Modified | 0000-00-00 |
| File Created | 2022-04-13 |