| Información del documento | ||
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| Título | ||
| Descripción | Filled out by the provider when they treat an injured worker. See web links below for: Latest payment amounts, Updates and corrections, and Review payment policy. For use in place of Minimum Data Set (MDS) 2.0 through September 30, 2011. Use F245-392-000 in place of MDS 3.0 beginning October 1, 2010. | |
| Detalle | ||
| Número del formulario | F245-052-000 | |
| Disponibilidad | Online only | |
| Palabras claves | ||
| Idiomas | English | |
| Fechas válidas | Todas las fechas son válidas | |
| Contacto | ||