Provider
P35-26 New Submission Requirement for High Dollar Hospital Claims
Program effective Date: Jun 01, 2026
Program effective Date: Jun 01, 2026
Program effective Date: Jun 01, 2026
Program effective Date: Jun 10, 2026
Program effective Date: Jun 10, 2026
Program effective Date: Jun 10, 2026
Program effective Date: Jun 10, 2026
This form may be used for reimbursement of expenses as the result of a Medicare-approved organ transplant.