Medicare Claims Processing Manual (Pub. 100-04), Ch. 21
Medicare Summary Notices - English Exhibits - 2.15_Envelope_pay_120409.pdf
Length: 29 wordsOfficial source
Centers for Medicare & Medicaid Services
c/o Contractor Name
Street Address
City, ST 12345-6789
OFFICIAL MEDICARE INFORMATION
RETURN SERVICE REQUESTED
IMPORTANT DOCUMENT ENCLOSED
Exhibit 2.15 – Pay MSN Envelope