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Standardixed RFI Form for Blood and Marrow Transplantation













 

Version BMT/RFI-2010

The 2010 version of the standardized form for reporting transplant center information and treatment outcomes data to third-party payers is now available.  Click on the links below to download the standardized RFI form in three parts:

Introduction

Read Me Notes (MSWord 927k)
RFI Forms

Administrative Survey (MSWord 226k)

Program Information (MSWord 543k)

Outcomes Data (MSExcel 241k)
NOTE: This file contains 2 spreadsheets.
Additional Information

FAQs (MSWord 53k) RFI Disease Classifications and Corresponding CIBMTR Classifications (MSWord 123k) Classification of Patients with Multiple Transplants (MSExcel 40k)

If you do not already have WinZip, you may obtain a free copy by clicking here.

The Request for Information (RFI) forms were developed by the ASBMT Committee on RFIs and have been reviewed and accepted by many health insurance companies and managed care organizations.