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5/31/2023 7:49 AM 150002 1 Attachment A-Denial.docx
5/31/2023 7:49 AM 107008 2 Attachment B- Payment Denial.doc
5/31/2023 7:49 AM 107008 3 Attachment C- Delivery System.doc
5/31/2023 7:50 AM 109568 4 Attachment D- Modification.doc
5/31/2023 7:50 AM 107520 5 Attachment E- Termination.doc
5/31/2023 7:50 AM 151552 6 Attachment F- Authorization Delay.doc
5/31/2023 7:50 AM 106496 7 Attachment G- Timely Access.doc
5/31/2023 7:51 AM 175616 8 Attachment H- Financial Liability.doc
5/31/2023 7:51 AM 140800 9 Attachment I- Grievance and Appeal.doc
3/14/2025 11:17 AM 237875 Attachment_A-Denial_Farsi.pdf
3/14/2025 11:18 AM 176910 Attachment_B-Payment_Denial_Farsi.pdf
3/14/2025 11:18 AM 228879 Attachment_C-Delivery_System_Farsi.pdf
3/14/2025 11:18 AM 193300 Attachment_D-Modification_Farsi.pdf
3/14/2025 11:19 AM 228685 Attachment_E-Termination_Farsi.pdf
3/14/2025 11:19 AM 212588 Attachment_F-Financial_Liability_Farsi.pdf
3/14/2025 11:19 AM 207412 Attachment_G-Timely_Access_Farsi.pdf
3/14/2025 11:20 AM 198230 Attachment_H-Authorization_Delay_Farsi.pdf
3/14/2025 11:20 AM 249478 Attachment_I-Grievance_and_Appeal_Farsi.pdf
6/7/2023 11:30 AM 52725 Farsi Template Page.docx
6/7/2023 11:30 AM 115756 Farsi Template Page.pdf
3/18/2025 11:12 AM 116007 NOABD_Farsi_Coversheet_Template.pdf