This form is used by Medicare Part A providers who change the default or other contact who receives their interim rate, tentative settlement, NPR & NOC-PR determinations.
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View this HRSA COVID-19 attestation.
THIS IS A DOCUMENT
THIS IS A DOCUMENT
This form is used by Medicare Part A providers for accelerated payments.
View this PDF presentation from the National AB MAC Ambulance Coalition Meeting on September 17, 2025.
THIS IS A DOCUMENT