Medicare Financial Management Manual (Pub. 100-06), Ch. 6 § 30.5
Heading
Length: 37 wordsOfficial source
30.5 - Heading
(Rev.12894; 10-17-24; Effective:11-01-24; Implementation:11-01-24)
A3-3894.5
This page is referenced as Form W for CROWD. The intermediary submits the
appropriate information for the reporting period for each office assigned a separate
contractor number and BSI.