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Get CMS-588 2013

If payment is being made to an account controlled by a Chain Home Office, the Provider of Services hereby acknowledges that payment to the Chain Office under these circumstances is still considered payment to the Provider, and the Provider authorizes the forwarding of Medicare payments to the Chain Home Office. If the account is drawn in the Physician’s or Individual Practitioner’s Name, or the Legal Business Name of the Provider/Supplier or IPP entity, the said Provider/Supplier or IPP enti.

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