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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
8/3/2025 3:31 PM 5654305 Attachment A-Denial-Notice-Farsi.docx
8/3/2025 3:31 PM 4947371 Attachment B-Payment Denial-Notice-Farsi.docx
8/3/2025 3:31 PM 6250171 Attachment C-Delivery System-Notice-Farsi.docx
8/3/2025 3:31 PM 5650800 Attachment D-Modification-Notice-Farsi.docx
8/3/2025 3:31 PM 5650595 Attachment E-Termination-Notice-Farsi.docx
8/3/2025 3:31 PM 5576687 Attachment F-Financial Liability-Notice-Farsi.docx
8/3/2025 3:31 PM 69069 Attachment G-Timely Access-Notice-Farsi.docx
8/4/2025 9:26 AM 71820 Attachment H-Delay in Processing Authorization Delay-Notice-Farsi.docx
8/3/2025 3:31 PM 69558 Attachment I-Failure to Timely Resolve Grievances and Appeals-Notice-Farsi.docx
8/26/2025 11:26 AM 1552177 Attachment_A-Denial_Farsi.pdf
8/26/2025 11:26 AM 1269709 Attachment_B-Payment_Denial_Farsi.pdf
3/14/2025 11:18 AM 228879 Attachment_C-Delivery_System_Farsi.pdf
8/26/2025 11:26 AM 2277362 Attachment_C-Delivery_System_Farsi.pdf.pdf
8/26/2025 11:26 AM 1386355 Attachment_D-Modification_Farsi.pdf
8/26/2025 11:26 AM 2408595 Attachment_E-Termination_Farsi.pdf
3/14/2025 11:19 AM 212588 Attachment_F-Financial_Liability_Farsi.pdf
8/26/2025 11:26 AM 1501211 Attachment_G-Timely_Access_Farsi.pdf
3/14/2025 11:20 AM 198230 Attachment_H-Authorization_Delay_Farsi.pdf
8/26/2025 11:26 AM 1345030 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
8/4/2025 9:45 AM 45444 NOABD_Farsi_Coversheet_Template.docx
8/26/2025 2:53 PM 152850 NOABD_Farsi_Coversheet_Template.pdf