Reference: Ref-15489

Reference Name: DFS-D0-1990 Medicare Secondary Payer Reporting Questionnaire
Agency: 69 Department of Financial Services
69H Division of Risk Management

Original Document(s):
6/6/2023 DFS-D0-1990 Medicare Secondary Payer Reporting Questionnaire
Modified Document(s): No Modified document(s).
Description: DFS-D0-1990 Medicare Secondary Payer Reporting Questionnaire

Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.

Rules/Notices using this Reference Material
Notice /
Adopted
Section Description ID Publish
Date
View Text Final
69H-2.008
Other Forms Adopted 27290191 Effective:
07/18/2023