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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4.73
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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
lbs
Dimensions
1 × 2 × 3 in
Quantity
250, 500, 1000
Paper Type
2 part (white-yellow)
Feb 12, 2025
ALBERT BELFER
QUICK AND EASY
Feb 12, 2025
John Bohle III
Fast and easy
Feb 12, 2025
John Carroll
The best I could find for what I’m looking for. Aside from expensive Shipping, it was a quick easy experience.
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