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Payment Floor for Medicare Claims  CGS Medicare  Form

Payment Floor for Medicare Claims CGS Medicare Form

Use a cgi medicare template to make your document workflow more streamlined.

A GENERAL SERVICES ADMINISTRATION DATE SUPPLIES OR SERVICES b ORDER NUMBER QUANTITY ORDERED c UNIT d UNIT PRICE e PAGE OF AMOUNT f GSA 300-A REV. ORDER FOR SUPPLIES AND SERVICES Continuation THIS NUMBER MUST APPEAR ON ALL PACKAGES AND PAPERS RELATING TO THIS ORDER PDN NUMBER ITEM NO. ...
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