Medicare Financial Management Manual (Pub. 100-06), Ch. 5 § 90
Intermediary Benefit Payment Report (Form CMS-456) – (Rev. 5,
90 - Intermediary Benefit Payment Report (Form CMS-456) – (Rev. 5,
08-30-02)
A1-1414
Medicare Financial Management Manual (Pub. 100-06), Ch. 5 § 90