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Transmittal #
R20GI
Subject
Medicare Authorization to Disclose Personal Health Information" form and "Information to Help You Fill Out the Medicare Authorization to Disclose Personal Health Information Form
Implementation Date
05/31/2005
CR #
3485
Publication #
PUB 100-01
MM Article #
N/A
MM Article Release Date
N/A
MM Article Revised Date
N/A
Related CR Release Date
N/A
Related CR Effective Date
N/A
Job Aid #
N/A