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I ordered dispensers of various types, got it shipped really fast... a happy customer.

James

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Advance Beneficiary Notice, CMS-R-131-S

Out of stock
SKU
MPSBRG-CMS-R-131-S
More Information
Brand Sage
MPN CMS-R-131-S
Packaging 1 per each
Size 8-1/2In x 11In
$73.71
Updated!

Provide any patient with a Medicare number with advance notice of physician ordered noncovered care; OR of reducing or terminating ongoing care when the physician does not concur.
8-1/2" x 11" (detached), 2-part carbonless snap set, white original, canary copy, black ink, wrapped in 50s.
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