This Medicaid Claim Form is available in a 2-part carbonless snap-apart format. This form has been already approved by Medicare and Medicaid for insurance claims.
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item. In the meantime, here are some reviews from our past customers sharing
their overall shopping experience.
4.73
Out of 5.0
5 Star
(26,345)
4 Star
(5,396)
3 Star
(1,517)
2 Star
(104)
1 Star
(103)
Overall Rating
95%
of customers that buy from this merchant give them a 4 or 5-Star rating.
Medicaid Claim Form 2 Part
From:
$58.00
Weight
5 lbs
Dimensions
1 × 2 × 3 in
Quantity
250, 500, 1000
Paper Type
2 part (white-yellow)
Apr 14, 2025
Johann Schwalbach
Easy quick services
Apr 14, 2025
Golden Condo
Products are good quality.
Apr 14, 2025
shannon atkinson
Good product
Apr 14, 2025
Kristy Meehan
Great quality, fast shipping!
Apr 14, 2025
Paula Brayton
When I tried to type in special order it would not let me type in the box more than one word
Apr 14, 2025
Monroe Bass
The robot verification wouldn’t work and had to keep refreshing the page. Hopefully it doesn’t charge us more than once