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Health and Human Services (HHS): CMS OFC of Enterprise Data and Analysis

CMS Data Payment Form
Please use this form to pay your public use files, limited data sets, and research identifiable files fees. Also use this form to pay all other recovery of data processing fees from the Centers for Medicare & Medicaid Services. This form is NOT to be used for submitting the CMS 855 Application Fee. If you need to submit a new enrollment or revalidation fee, please use the following link: https://pecos.cms.hhs.gov/pecos/feePaymentWelcome.do Form Number: CMS DATA Payment

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Troubleshooting Information:

Name Value
User IP 54.198.15.20
User Agent CCBot/2.0 (https://commoncrawl.org/faq/)
Current URI /public/search/agencyforms
Current Server Date 10/15/2018 10:41:16 EDT
User Sign In Name UnAuthenticatedUser
Tracker c2N6v7X7tye9h50VUB1Q
Paygov Tracking ID N/A

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