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Get 06-03 Form Cms-2552-96 3690 (cont.) - (hcris) - Data For ...

06-03 FORM CMS-2552-96 CALCULATION OF CAPITAL PAYMENT PROVIDER NO.: COMPONENT NO.: Hospital Subprovider 3690 (Cont.) PERIOD: FROM TO WORKSHEET L Title V Fully Prospective Method Title XVIII Hold Harmless.

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