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Get Xerox CDR & PCSR Request Form

Y Method Electronic: Xerox Secure Web, (SLFT): Yes No CD $30.00 Shipping Fee: Yes No Shipping Address: Report Type & Cost Information 1 YR Claim Detail Report (CDR) $ 300.00 1 YR Paid Claim Summary Report (PCSR) $ 400.00 1 YR Ad Hoc Report (special report with unique fields) $ 500.00 Order Information CDR/ PCSR * NPI Number or Legacy Number Service Date Paid Date Claim Types Adjudication Status Select Value To To Select Value Select Value Select Value To To Select Value.

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Tax, legal, business as well as other documents require a high level of compliance with the law and protection. Our documents are regularly updated in accordance with the latest amendments in legislation. In addition, with us, all the data you provide in the Xerox CDR & PCSR Request Form is well-protected from loss or damage by means of cutting-edge file encryption.

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  1. Open the template in our full-fledged online editor by clicking on Get form.
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