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DI 11036: Amyotrophic Lateral Sclerosis (ALS) - Medicare Waiting Period Waived - FO

Effective Dates: 09/09/2004 - Present

BASIC (05-04)

This is an example of all information needed on SSA-795 for ALS allegation:

G-DI_11036.003

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DI 11035: Medicare for Qualified Government Employment (MQGE) Cases

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DI 110: Initial Claims Processing

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DI 11040: Deemed Medicare Cases

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