Quarterly Supplement To Intermediary Workload Report (Form

50 - Quarterly Supplement To Intermediary Workload Report (Form CMS-1566A) - General (Rev. 6, 08-30-02) A3-3896 In addition to the monthly workload report, prepare and transmit to CMS a Quarterly Supplement to the Intermediary Workload Report showing the status and disposition of selected workloads. Complete a separate report for each office assigned a separate intermediary number.