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We are revising the attestation statement to retain the phase to the best of its knowledge and belief to acknowledge that there may be varied interpretations of contract calculations that could lead to variation in price, that the hospital may not know at the time of MRF development every factor that may impact the price or the payer may not have disclosed all factors to the hospital, and that for many hospital services the price is determined after services are performed at the episode of care level, not at the line item level, which would hinder an MRF user from being able to derive a price prior to services being performed

This oncologic safety concern is magnified by the fact that many cancers remain clinically silent during their early developmental stages