Notice of Adverse Benefit Determination

Assigned Number	Title	Release Date	File Type	Language	Available to Order
F-02721H	Notice of Adverse Benefit Determination, Hmong	01/15/2021	Word	Hmong	No
F-02721SO	Notice of Adverse Benefit Determination, Somali	01/15/2021	Word	Somali	No
F-02721R	Notice of Adverse Benefit Determination, Russian	01/15/2021	Word	Russian	No
F-02721S	Notice of Adverse Benefit Determination, Spanish	01/15/2021	Word	Spanish	No
F-02721	Notice of Adverse Benefit Determination	01/15/2021	Word	English	No

Glossary