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Reconciliation of State Invoice (ROSI) (CMS-304)
Reconciliation of State Invoice (ROSI) (CMS-304) and Prior Quarter Adjustment Statement (PQRS) (CMS-304a)
Adjustment and Dispute Codes for CMS-304_304a_07.2021_508
Reconciliation of State Invoice (ROSI) (CMS-304)
OMB: 0938-0676
OMB.report
HHS/CMS
OMB 0938-0676
ICR 202403-0938-004
IC 8261
Reconciliation of State Invoice (ROSI) (CMS-304)
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