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Get Offset Request Form - CGS

Offsets are considered voluntary payments therefore waiving rights to section 935 interest for eligible debts. Please remember offset can only take place if payment is still being received under this payee number. Fax Request to: 1.615.782.4477 Include at least the first page of the demand letter or information indicating which overpayment. Date of Overpayment Letter Provider/Supplier Name Provider/Supplier Number PTAN.

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