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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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)
Apr 08, 2013
Anonymous Customer
So far so good! If I am not disappointed with the forms I will be a customer for life!
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