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
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)
Dec 20, 2012
Anonymous Customer
Dec 20, 2012
Anonymous Customer
Dec 20, 2012
Carolyn T.
Dec 20, 2012
Anonymous Customer
Dec 20, 2012
Anonymous Customer
Dec 20, 2012
Anonymous Customer
Dec 20, 2012
Tova
Dec 20, 2012
efrain
Dec 20, 2012
Anonymous Customer
I would have liked to have been able to see the fine print on the invoice to know what it says.