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並前往https://www.cms.gov/Medicare/Medicare-General-Information/BNI/Downloads/Integrated-Denial-Notice-Instructions-CMS-10003.pdf

Form Instructions for the Notice of Denial of Medical Coverage ...

Form Instructions for the Notice of Denial of Medical Coverage (or. Payment) CMS-10003-NDMCP. A Medicare health plan (“plan”) must complete and issue this ...

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